Individual
MONSHERAD CLAUDETTE GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 SE POWELL BLVD, PORTLAND, OR 97202-2345
(503) 233-6121
(503) 233-6126
Mailing address
2369 NW SCHMIDT WAY APT 111, BEAVERTON, OR 97006-4775
(702) 569-5892
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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