# WILLAMETTE PROCEDURE CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649612698
- **Authorized official:** GREG GULLO MD (OWNER)
- **Authorized official phone:** (541) 488-2101

## Contact information

- **Practice address:** 2020 8TH AVE STE 212, WEST LINN, OR 97068-4657
- **Practice address phone:** (541) 488-2101
- **Practice address fax:** (541) 488-5885
- **Mailing address:** 2020 8TH AVE STE 212, WEST LINN, OR 97068-4657
- **Mailing address phone:** (541) 488-2101
- **Mailing address fax:** (541) 488-5885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | OR | Yes |

## Other

- **Enumeration date:** 07/18/2013
- **Last updated:** 07/18/2013