Individual
LESLIE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 NE EVANS ST STE A, MCMINNVILLE, OR 97128-4628
(503) 472-4020
(503) 472-8630
Mailing address
9460 SE WEBFOOT RD, DAYTON, OR 97114-8036
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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