Dylan Gustafson

NPI #1982171690 in Oregon City, Oregon

Provider Information

NPI Number
1982171690
Entity Type
Individual
Name
Dylan Gustafson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Oct 31, 2018
Last Updated
Oct 31, 2018

Practice Location

Address
22518 S PARROTT CREEK RD.
State
Oregon
ZIP Code
97045-9704
Phone
(503) 266-3050

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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