Gustafson, Gail Susan

Gustafson, Gail Susan is an sole proprietor health care provider with primary practice located at 119 Ne 3Rd St , Gresham OR 97030-7403. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Gustafson, Gail Susan can be contacted via phone (503) 313-5369.

Contact Information

Primary practice address
119 Ne 3Rd St Gresham OR 97030-7403
Phone: (503) 313-5369
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 7795 Oregon

Profile Details

NPI number 1356598841
LBN Legal business name Gustafson, Gail Susan
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2008
Last updated Aug 26th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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