EDGAR ALLAN GUTIERREZ


Address: 8122 Se Tibbetts St, Portland, OR 97206-1768
Phone: 5032551111

EDGAR ALLAN GUTIERREZ (NPI# 1093053449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093053449
Entity Type Individual
Full Name EDGAR ALLAN GUTIERREZ
Practice Address 8122 Se Tibbetts St
Portland
OR 97206-1768
Mailing Address 5750 Se Tranquil Ct
Milwaukie
OR 97267-4343
Practice Telephone 5032551111
Enumeration Date 2013-01-18
Last Update Date 2015-02-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 200341187-RN OR Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
201405804NP-PP OR Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 8122 SE TIBBETTS ST
City PORTLAND
State OR
Zip Code 97206-1768

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831408053 Jason Paul Taylor Physician Assistant 8122 Se Tibbetts St, Portland, OR 97206-1768 2010-10-05
1407456551 Phuong T Phan Pharmacist 8122 Se Tibbetts St, Portland, OR 97206-1768 2020-10-28
1487289989 Phuong Anh Ngoc Huynh Pharmacist 8122 Se Tibbetts St, Portland, OR 97206-1768 2020-03-05
1457829970 Jimmy Minh Hoang Internal Medicine 8122 Se Tibbetts St, Portland, OR 97206-1768 2018-11-02
1083103097 Drew Rhys Haven Massage Therapist 8122 Se Tibbetts St, Portland, OR 97206-1768 2018-05-04
1154829513 Diana Bui Family Medicine 8122 Se Tibbetts St, Portland, OR 97206-1768 2018-01-31
1538539150 Emily Sweedler Massage Therapist 8122 Se Tibbetts St, Portland, OR 97206-1768 2015-09-25
1548664816 Helen Doan Pharmacist 8122 Se Tibbetts St, Portland, OR 97206-1768 2014-10-15
1649682725 Caleb Alexander Langsam Physician Assistant 8122 Se Tibbetts St, Portland, OR 97206-1768 2014-05-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346852365 Amanda Kristine Fredrickson Dietitian, Registered 3611 Se 64th Ave., Portland, OR 97206 2020-08-20
1578108940 Amy Groulx Technician 5506 Se Mitchell St, Portland, OR 97206 2019-11-08
1477061265 Lisa Marie Matejka Naturopath 5235 Se Lambert St, Apt. #b6, Portland, OR 97206 2018-01-16
1639625205 Mollie Kathleen Pence Registered Nurse 2415 43rd Ave, Suite 100, Cascadia Behavioral Healthcare Urgent Walkin Clinic, Portland, OR 97206 2016-09-01
1457709164 Lauren Murdoch Massage Therapist 4629 Southeast Woodstock Boulevard, Portland, OR 97206 2016-06-03
1962897785 Meigra Simon LLC Mechanotherapist 6842 Se Henry St, Portland, OR 97206 2015-03-30
1891186508 Teresa Leckron-myers Case Manager/Care Coordinator 7916 Se Foster Rd, Portland, OR 97206 2015-02-17
1831597590 Boey Yean Lim Acupuncturist 4629 Se Woodstock Blvd, Portland, OR 97206 2014-12-12
1295082329 Chase Heywood Price Acupuncturist 5425 Se Raymond Street, Portland, OR 97206 2012-08-08
1154678423 Annelise Sevastiana Schnase Counselor 4311 Se Woodstock Blvd, Portland, OR 97206 2012-08-06
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043822794 Danielle Langer Nurse Practitioner 35 Ridgeview Rd, Portland, CT 06480-4014 2020-08-23
1508476250 Harrington Health Clinic Nurse Practitioner 310 Nw Glisan Street, Portland, OR 97209 2020-08-07
1114566650 Sadie Garnache-poirier Nurse Practitioner 65 W Commercial St Ste 107, Portland, ME 04101-4789 2020-01-02
1902441629 Jennifer Marie Colpitts Nurse Practitioner 1600 Congress St Ste B, Portland, ME 04102-2148 2019-11-18
1477102689 Raquel A Bishop Nurse Practitioner 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 2019-09-10
1265081640 Christina Lee Nurse Practitioner 144 State St # 1, Portland, ME 04101-3776 2019-09-09
1407401474 Abby Christine Vopal Nurse Practitioner 66 Bramhall St Fl 1, Portland, ME 04102-3355 2019-08-07
1770145294 Cynthia Marie Martinez Nurse Practitioner 1145 Austin St, Portland, TX 78374-2013 2019-07-04
1528532306 Matthew James Keelin Nurse Practitioner 6801 Ne Cornfoot Rd, Portland, OR 97218-2743 2019-01-15
1659847580 Colleen Jeanette Scott Nurse Practitioner 650 Nw Irving St, Portland, OR 97209-1272 2018-10-18
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Competitor

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City PORTLAND
Zip Code 97206

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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