Alan Keith Gustafson

NPI #1003392515 in Salem, Oregon

Provider Information

NPI Number
1003392515
Entity Type
Individual
Name
Alan Keith Gustafson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Community Health Worker
Enumeration Date
Jul 17, 2018
Last Updated
Jul 17, 2018

Practice Location

Address
4890 32ND AVE SE
City
Salem
State
Oregon
ZIP Code
97317-9350
Phone
(503) 588-5647

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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