# CYNTHIA GULICK, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOUTHWEST FAMILY PHYSICIANS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467675009
- **Authorized official:** MRS. CYNTHIA GULICK DO (OWNER)
- **Authorized official phone:** (503) 620-5556

## Contact information

- **Practice address:** 11900 SW GREENBURG RD, TIGARD, OR 97223
- **Practice address phone:** (503) 620-5556
- **Practice address fax:** (503) 624-0118
- **Mailing address:** 11900 SW GREENBURG RD, TIGARD, OR 97223-6453
- **Mailing address phone:** (503) 620-5556
- **Mailing address fax:** (503) 624-0118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | DO14860 | OR | — |
| 207Q00000X | Family Medicine Physician | DO15813 | OR | Yes |
| 207Q00000X | Family Medicine Physician | DO20679 | OR | — |
| 207Q00000X | Family Medicine Physician | MD28256 | OR | — |
| 363AM0700X | Medical Physician Assistant | PA00425 | OR | — |
| 363AM0700X | Medical Physician Assistant | PA00474 | OR | — |
| 363AM0700X | Medical Physician Assistant | PA00890 | OR | — |
| 363AM0700X | Medical Physician Assistant | PA00941 | OR | — |
| 363LF0000X | Family Nurse Practitioner | 079044143N1 | OR | — |
| 363LF0000X | Family Nurse Practitioner | 096007344 | OR | — |
| 363LF0000X | Family Nurse Practitioner | 91007287 | OR | — |
| 367A00000X | Advanced Practice Midwife | 095006531 | OR | — |
| 367A00000X | Advanced Practice Midwife | 200350075 | OR | — |

## Other

- **Enumeration date:** 04/11/2007
- **Last updated:** 03/07/2023