ANDREW GUSTAFSON

PORTLAND, OR
NPI1376602367
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies372600000X Adult Companion
Enumeration Date2006-12-06
Last Update Date2007-10-29
Business Address
-- ANDREW GUSTAFSON
509 NE ALBERTA ST
PORTLAND, OR 97211-3976
Phone number: 503-249-7767
Mailing Address
-- ANDREW GUSTAFSON
6023 NE WASCO ST
PORTLAND, OR 97213-4237
Phone number:
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