Dylan Gustafson
Case Manager/Care Coordinator in Oregon City, OR. Individual provider (NPI-1).
NPI number1982171690
StatusActive
Last updated in NPPESOct 31, 2018
Details
- NPI
- 1982171690
- Entity type
- Individual (NPI-1)
- Name
- Dylan Gustafson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 31, 2018
- Last updated
- Oct 31, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
22518 S Parrott Creek Rd.Oregon City, OR 97045-9704
Phone 503-266-3050
Mailing address
22518 S Parrott Creek Rd.Oregon City, OR 97045
Phone 503-266-3050
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All 91 Case Manager/Care Coordinator providers in Oregon City · All 1,780 providers in Oregon City
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