Individual
DR. GERALDINE K PULITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
120 NW 14TH AVE, STE 300, PORTLAND, OR 97209-2643
(503) 299-9906
(503) 225-9002
Mailing address
PO BOX 2040, PORTLAND, OR 97208-2040
(503) 299-9906
(503) 225-9002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD10167
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1272103
—
WA
05
—
154278
—
OR
05
—
MD167OR
—
AK
Enumeration date
07/28/2006
Last updated
10/16/2007
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