Individual
PAUL GYLLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
6160 SW ARCTIC DR, BEAVERTON, OR 97005-9448
(503) 646-7777
(503) 786-9729
Mailing address
PO BOX 66500, PORTLAND, OR 97290-6500
(503) 657-8663
(503) 723-3180
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
170812
OR
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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