Individual
DR. JAMES W. GULICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2793 SW 45TH ST, CORVALLIS, OR 97333-1496
(541) 760-7016
Mailing address
2793 SW 45TH ST, CORVALLIS, OR 97333-1496
(541) 760-7016
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD10731
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050008121
RR MEDICARE
OR
05
—
076497
—
OR
05
—
8123887
—
WA
Enumeration date
02/28/2006
Last updated
10/17/2012
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