Individual
MR. JEFFREY JAMES GULLIFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2701 NW VAUGHN ST, SUITE 140, PORTLAND, OR 97210-5311
(360) 891-9647
Mailing address
17216 SE 25TH WAY, VANCOUVER, WA 98683-3430
(360) 891-9647
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3925
OR
225100000X
Physical Therapist
PT00005465
WA
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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