Alan Keith Gustafson
Alan Keith Gustafson is a Community Health Worker in Salem, Oregon. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
4890 32nd Ave SESalem, OR 97317-9350
Phone: (503) 588-5647
Fax: (503) 779-1992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1003392515 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 17, 2018 |
| Last updated in NPPES | July 17, 2018 |
| Mailing address | 4890 32nd Ave Se, Salem, OR 97317-9350 |
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