Organization
GREGORY GULLO, MD PC
Active
Other names
Integrated Spine Care
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY GULLO MD (PRESIDENT)
(503) 512-1212
Entity
Organization
Contact information
Practice address
10101 SE MAIN ST, SUITE 2014, PORTLAND, OR 97216-2455
(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
174400000X
Specialist
Primary
MD26192
OR
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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