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Individual

DR. DIANE S GUDMUNDSEN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
4004 SW KELLY AVE, PORTLAND, OR 97239-4389
(503) 223-5152
(503) 224-3454
Mailing address
4004 SW KELLY AVE, PORTLAND, OR 97239-4389
(503) 223-5152
(503) 224-3454

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1991
OR

Other

Enumeration date
11/03/2005
Last updated
07/08/2007
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