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
Phone: (503) 669-8070
Fax: (503) 236-3513
Website:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780752360 | NPPES |
| Oregon | MEDICAID | 0310216371 |
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