Organization
WILLAMETTE PAIN AND SPINE CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY GULLO MD (PRESIDENT)
(503) 512-1212
Entity
Organization
Contact information
Practice address
2020 8TH AVE, SUITE 200, WEST LINN, OR 97068-4657
(503) 512-1212
(503) 512-1220
Mailing address
2020 8TH AVE, SUITE 200, WEST LINN, OR 97068-4657
(503) 512-1212
(503) 512-1220
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD26192
OR
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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