Organization
GREGORY GULLO MD PC
Active
Other names
Integrated Spine Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY GULLO MD (PRESIDENT)
(503) 512-1212
Entity
Organization
Contact information
Practice address
24076 SE STARK ST, SUITE 320, GRESHAM, OR 97030-3373
(503) 512-1212
(503) 512-1220
Mailing address
24076 SE STARK ST, SUITE 320, GRESHAM, OR 97030-3373
(503) 512-1212
(503) 512-1220
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD26192
OR
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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