Individual provider · Type 1 NPI

Edgar Allan Gutierrez

Family Nurse Practitioner · Portland, OR

NPI number 1093053449 Active

Practice location

8122 SE Tibbetts St
Portland, OR 97206-1768

Mailing address

5750 SE Tranquil Ct
Milwaukie, OR 97267-4343

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X200341187-RN (OR)
Family Nurse Practitioner Primary 363LF0000X201405804NP-PP (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1093053449

Edgar Allan Gutierrez's National Provider Identifier is 1093053449, issued on Jan 18, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Dec 29, 2021.