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Individual

DR. GARY L SULTANY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9155 SW BARNES RD STE 314, PORTLAND, OR 97225-6630
(503) 297-3384
(503) 297-0863
Mailing address
9155 SW BARNES RD STE 314, PORTLAND, OR 97225-6630
(503) 297-3384
(503) 297-0863

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD13316
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
267799
OR
Enumeration date
09/24/2006
Last updated
06/20/2012
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