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Organization

WILLAMETTE PROCEDURE CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREG GULLO MD (OWNER)
(541) 488-2101
Entity
Organization

Contact information

Practice address
2020 8TH AVE STE 212, WEST LINN, OR 97068-4657
(541) 488-2101
(541) 488-5885
Mailing address
2020 8TH AVE STE 212, WEST LINN, OR 97068-4657
(541) 488-2101
(541) 488-5885

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OR

Other

Enumeration date
07/18/2013
Last updated
07/18/2013
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