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Organization
WILLAMETTE PAIN AND SPINE CENTER, PC
Active
Organization
WILLAMETTE PAIN AND SPINE CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY GULLO MD (PRESIDENT)
(503) 512-1212
Entity
Organization
Contact information
Practice address
2020 8TH AVE, SUITE 200, WEST LINN, OR 97068-4657
(503) 512-1212
(503) 512-1220
Mailing address
2020 8TH AVE, SUITE 200, WEST LINN, OR 97068-4657
(503) 512-1212
(503) 512-1220
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD26192
OR
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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