DIANA ELIZABETH GWINN

PORTLAND, OR
NPI1386122687
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: OR  10465)
Enumeration Date2018-07-30
Last Update Date2018-07-30
Business Address
DIANA ELIZABETH GWINN DD1
16405 NE FARGO CIR
PORTLAND, OR 97230-5513
Phone number: 503-484-7287
Mailing Address
DIANA ELIZABETH GWINN DD1
16405 NE FARGO CIR
PORTLAND, OR 97230-5513
Phone number: 503-484-7287
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