Individual
AMY JACQUELINE GULZOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
709 S MAIN ST, JOSEPH, OR 97846-8513
(541) 398-0007
Mailing address
PO BOX 703, JOSEPH, OR 97846-0703
(541) 398-0007
(541) 960-3904
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
12700
OR
374J00000X
Doula
Primary
106415
OR
Other
Enumeration date
03/19/2008
Last updated
02/01/2023
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