Gutierrez, Vladimir

Gutierrez, Vladimir is an individual health care provider with primary practice located at 4105 Se Division St , Portland OR 97202-1646. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Gutierrez, Vladimir can be contacted via phone (503) 669-8070.

Contact Information

Primary practice address
4105 Se Division St Portland OR 97202-1646
Fax: (503) 236-3513
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 0310216371 Oregon

Profile Details

NPI number 1780752360
LBN Legal business name Gutierrez, Vladimir
Credentials H.I.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Feb 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780752360 NPPES
Oregon MEDICAID 0310216371

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