Individual
BRIAN GUTSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
915 ANDERSON DR, ABERDEEN, WA 98520-1006
(360) 532-8330
Mailing address
970 SATSOP RD W, MONTESANO, WA 98563-9326
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
60645156
WA
Other
Enumeration date
06/18/2013
Last updated
08/06/2021
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