Individual
GILBERT J GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
7555 SW HERMOSO WAY STE 120, TIGARD, OR 97223-8684
(503) 345-3260
(503) 345-3052
Mailing address
7555 SW HERMOSO WAY STE 120, TIGARD, OR 97223-8684
(618) 602-0767
(618) 822-4021
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
277003193
IL
363LA2100X
Acute Care Nurse Practitioner
2019023256
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10037295
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2024011384
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP61662306
WA
Other
Enumeration date
06/28/2019
Last updated
03/25/2026
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