Individual provider · Type 1 NPI
Roberto Gutierrez
Adult Care Home Facility · Gresham, OR
NPI number
1336073980
Active
Practice location
3785 SW 5th Dr
Gresham, OR 97030-6419
Fax (971) 274-2157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 11627 (OR) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Other adult care home facility providers in Gresham
About NPI 1336073980
Roberto Gutierrez's National Provider Identifier is 1336073980, issued on Jun 10, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Gresham, OR. The record was last updated on Jun 10, 2026.