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NPI Code Detail

MEDICARE: GEMMA A INGUANTA MSW

MEDICARE: GEMMA A INGUANTA MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerOR

General Provider Information

NPI Number : 1639051774
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEMMA A INGUANTA MSW
Provider Business Mailing Address
First Line : 3532 NE 8TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97212-2116
Country : US
Telephone Number : 516-314-1751
Fax Number :
Provider Business Practice Location Address
First Line : 232 S WHITCOMB ST
Second Line :
City : FORT COLLINS
State : CO
Zip : 80521-2642
Country : US
Telephone Number : 516-314-1751
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2025
Last Update Date : 02/10/2026

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Directions to “ GEMMA A INGUANTA MSW” Practice Location

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