Gustafson, Andrew

Gustafson, Andrew is an individual health care provider with primary practice located at 509 Ne Alberta St , Portland OR 97211-3976. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Nursing Service Related Providers / Adult Companion. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Gustafson, Andrew can be contacted via phone (503) 249-7767.

Contact Information

Primary practice address
509 Ne Alberta St Portland OR 97211-3976
Phone: (503) 249-7767
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Nursing Service Related Providers / Adult Companion 372600000X

Profile Details

NPI number 1376602367
LBN Legal business name Gustafson, Andrew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Oct 29th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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