Individual
MARIA KAY KULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24900 SE STARK ST, GRESHAM, OR 97030-3355
(503) 413-7162
(503) 674-4140
Mailing address
44995 SE PAHA LOOP DR, SANDY, OR 97055-9424
(503) 929-7971
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0008589
OR
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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