Healthcare Provider Details

I. General information

NPI: 1801712740
Provider Name (Legal Business Name): PAUL GUIDO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

790 SAINT HELENS ST
SAINT HELENS OR
97051-1930
US

IV. Provider business mailing address

790 SAINT HELENS ST
SAINT HELENS OR
97051-1930
US

V. Phone/Fax

Practice location:
  • Phone: 503-983-2240
  • Fax:
Mailing address:
  • Phone: 503-983-2240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: