Gregory Gullo, MD PC

NPI #1548558323 in Portland, Oregon

Provider Information

NPI Number: 1548558323
Entity Type: Organization
Organization Name: Gregory Gullo, MD PC
Primary Specialty: Specialist
Enumeration Date: Jul 14, 2011
Last Updated: Jul 14, 2011

Practice Location

Address: 10101 SE MAIN ST
Address 2: SUITE 2014
City: Portland
State: Oregon
ZIP Code: 97216-2455
Phone: (503) 512-1212

Authorized Official

Name: GREGORY GULLO, MD
Title: PRESIDENT
Phone: (503) 512-1212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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