# WILLAMETTE PAIN AND SPINE CENTER, PC

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

## Provider details

- **NPI number:** 1982977849
- **Authorized official:** GREGORY GULLO MD (PRESIDENT)
- **Authorized official phone:** (503) 512-1212

## Contact information

- **Practice address:** 2020 8TH AVE, SUITE 200, WEST LINN, OR 97068-4657
- **Practice address phone:** (503) 512-1212
- **Practice address fax:** (503) 512-1220
- **Mailing address:** 2020 8TH AVE, SUITE 200, WEST LINN, OR 97068-4657
- **Mailing address phone:** (503) 512-1212
- **Mailing address fax:** (503) 512-1220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | MD26192 | OR | Yes |

## Other

- **Enumeration date:** 02/22/2012
- **Last updated:** 02/22/2012