Diana Elizabeth Gwinn, DD1
Diana Elizabeth Gwinn, DD1 is an Adult Care Home Facility in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2018
Practice location Address checks out
16405 NE Fargo CirPortland, OR 97230-5513
Phone: (503) 484-7287
Fax: (503) 210-5974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence 10465 (OR) |
|---|
Record details
| NPI number | 1386122687 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DD1 |
| Sole proprietor | Yes |
| NPI enumerated | July 30, 2018 |
| Last updated in NPPES | July 30, 2018 |
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