Diana Elizabeth Gwinn, DD1

NPI #1386122687 in Portland, Oregon

Provider Information

NPI Number
1386122687
Entity Type
Individual
Name
Diana Elizabeth Gwinn, DD1
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Custodial Care Facility - Adult Care Home
Credential
DD1
Enumeration Date
Jul 30, 2018
Last Updated
Jul 30, 2018

Practice Location

Address
16405 NE FARGO CIR
State
Oregon
ZIP Code
97230-5513
Phone
(503) 484-7287

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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