DR. ALLISON EVANS GULLO (NPI# 1093921660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093921660 |
| Entity Type | Individual |
| Full Name | DR. ALLISON EVANS GULLO |
| Credential | M.D. |
| Practice Address |
6926 Ne Fourth Plain Blvd Vancouver WA 98661-7369 |
| Practice Telephone | 3609933000 |
| Mailing Telephone | 3609933000 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
MD60010345 | WA | Allopathic & Osteopathic Physicians |
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
MD60010345 | WA | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
MD26258 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
6926 NE FOURTH PLAIN BLVD |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98661-7369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871552455 | Hi School Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 6926 Ne Fourth Plain Blvd, Suite B, Vancouver, WA 98661-7254 | 2006-03-21 |
| 1316548621 | John Lee Wilson | Counselor | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-11-03 |
| 1952902264 | Kahla Nicole Stewart | Specialist | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-11-03 |
| 1255939807 | Melissa Annmarie Mercer | Registered Nurse | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-10-15 |
| 1295332328 | Cheryl A Brown-hendrix | Counselor | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-10-01 |
| 1285249854 | Leah Martine | Counselor | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-09-10 |
| 1659985224 | Lauryn E Sanders | Counselor | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-09-01 |
| 1972116465 | Mikaela Elaine Hines | Counselor | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-08-25 |
| 1104439686 | Geoffrey Severin Wampach | Counselor | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-08-25 |
| 1265044572 | Roseanna Ruiz | Counselor | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228417 | Cynthia Ann Holt | Social Worker | 4608 Ne 47 Street, Vancouver, WA 98661 | 2020-06-01 |
| 1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
| 1306305289 | Kathryn Susanne Scott | Social Worker | Attn: Kathryn Scott, V3cnh, 1601 E. Fourth Plain Blvd., Vancouver, WA 98661 | 2019-03-19 |
| 1952860637 | Alice Rogers | Occupational Therapist | Vancouver Public Schools, 2901 Falk Rd., Vancouver, WA 98661 | 2019-03-13 |
| 1053878538 | Paula Moore | Counselor | 9626 Ne Fourth Plain Blvd, Vancouver, WA 98661 | 2019-02-21 |
| 1558825729 | Cassandra Marie Nichols | Counselor | 1601 E 4th Blvd, Vancouver, WA 98661 | 2019-01-22 |
| 1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
| 1518444025 | Columbia Pharmacy | Pharmacy | 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 | 2018-07-26 |
| 1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
| 1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
| Find all providers in zip 98661 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811233414 | Neuropsych Program Pllc | Psychiatry & Neurology | 1446 Spaulding Park Ste 303, Richland, WA 99352-4720 | 2012-12-31 |
| 1255436382 | Thomas H. Lampe | Psychiatry & Neurology | Va Puget Sound Hcs American Lake Division, 116poc, Tacoma, WA 98493-0001 | 2006-09-13 |
| 1295846012 | Jim C Chen | Psychiatry & Neurology | 1 Lake Bellevue Dr, Suite #101, Bellevue, WA 98005-2417 | 2006-08-31 |
| 1144339078 | Lucy Y Wang | Psychiatry & Neurology | 1660 S. Columbian Way, S-116-mhc, Seattle, WA 98108 | 2006-08-30 |
| 1679515142 | Ioana M Diaconu | Psychiatry & Neurology | 620 Kirkland Way, 200, Kirkland, WA 98033-6021 | 2006-06-11 |
| 1700869666 | Tracy Ross Gordy | Psychiatry & Neurology | 52 W Ludlow Point Rd, Port Ludlow, WA 98365-8786 | 2005-11-23 |
| 1770738957 | Kris L Fincher Arnp Pllc | Psychiatry & Neurology | 24605 35th Ave S, Kent, WA 98032-4186 | 2008-12-01 |
| 1679735922 | Murray Albert Raskind | Psychiatry & Neurology | 1660 S Columbian Way, S116, Seattle, WA 98108-1532 | 2008-06-27 |
| 1801088794 | Arpan Waghray | Psychiatry & Neurology | 1959 Ne Pacific St, C212, Box 356340, Seattle, WA 98195-0001 | 2007-08-14 |
| 1295878064 | Robert Charles Reinach | Psychiatry & Neurology | 5455 Almira Dr Se, Bremerton, WA 98311-8330 | 2007-02-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.