Individual
MR. ROBERT LEWIS GULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
1405 FILBERT ST, LEBANON, OR 97355-4018
(541) 401-3917
Mailing address
1405 FILBERT ST, LEBANON, OR 97355-4018
(541) 401-3917
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RT-P-000774
OR
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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