Individual
DR. KRISTINA DEVIN GULLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 N GRAHAM STREET, SUITE 265, PORTLAND, OR 97227
(503) 282-7002
(503) 280-1290
Mailing address
501 N GRAHAM STREET, SUITE 265, PORTLAND, OR 97227
(503) 282-7002
(503) 280-1290
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
9550276-1205
UT
2080N0001X
Neonatal-Perinatal Medicine Physician
MD.MD.61048911
WA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD198068
OR
Other
Enumeration date
03/31/2014
Last updated
12/07/2020
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