Organization
CYNTHIA GULICK, PC
Active
Other names
SOUTHWEST FAMILY PHYSICIANS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA GULICK DO (OWNER)
(503) 620-5556
Entity
Organization
Contact information
Practice address
11900 SW GREENBURG RD, TIGARD, OR 97223
(503) 620-5556
(503) 624-0118
Mailing address
11900 SW GREENBURG RD, TIGARD, OR 97223-6453
(503) 620-5556
(503) 624-0118
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO14860
OR
207Q00000X
Family Medicine Physician
Primary
DO15813
OR
207Q00000X
Family Medicine Physician
DO20679
OR
207Q00000X
Family Medicine Physician
MD28256
OR
363AM0700X
Medical Physician Assistant
PA00425
OR
363AM0700X
Medical Physician Assistant
PA00474
OR
363AM0700X
Medical Physician Assistant
PA00890
OR
363AM0700X
Medical Physician Assistant
PA00941
OR
363LF0000X
Family Nurse Practitioner
079044143N1
OR
363LF0000X
Family Nurse Practitioner
096007344
OR
363LF0000X
Family Nurse Practitioner
91007287
OR
367A00000X
Advanced Practice Midwife
095006531
OR
367A00000X
Advanced Practice Midwife
200350075
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780756494
DR. GULICK NPI NUMBER
OR
01
—
DO15813
DR. GULICK LICENSE
OR
Enumeration date
04/11/2007
Last updated
03/07/2023
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