Gullo, Gregory

Gullo, Gregory is an individual health care provider with primary practice located at 2020 8Th Ave Suite 200, West Linn OR 97068-4657. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Gullo, Gregory can be contacted via phone (503) 512-1212.

Contact Information

Primary practice address
2020 8Th Ave Suite 200 West Linn OR 97068-4657
Phone: (503) 512-1212
Fax: (503) 512-1220
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD26192 Oregon
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X MD26192 Oregon

Profile Details

NPI number 1124075791
LBN Legal business name Gullo, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Sep 18th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124075791 NPPES
Oregon MEDICAID 027890

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