CYNTHIA GULICK, PC (NPI# 1467675009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467675009 |
| Entity Type | Organization |
| Organization Name | CYNTHIA GULICK, PC |
| Other Organization Name | SOUTHWEST FAMILY PHYSICIANS |
| Practice Address |
11900 Sw Greenburg Rd Tigard OR 97223 |
| Mailing Address |
11900 Sw Greenburg Rd Tigard OR 97223-6453 |
| Practice Telephone | 5036205556 |
| Practice Fax Number | 5036240118 |
| Mailing Telephone | 5036205556 |
| Mailing Fax Number | 5036240118 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2018-11-06 |
| Authorized Official Name | MRS. CYNTHIA GULICK (OWNER) |
| Authorized Official Telephone | 5036205556 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | DO20679 | OR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | DO14860 | OR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD28256 | OR | Allopathic & Osteopathic Physicians |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00425 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00890 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00941 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00474 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
096007344 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
91007287 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
079044143N1 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367A00000X | Advanced Practice Midwife | 095006531 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367A00000X | Advanced Practice Midwife | 200350075 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | DO15813 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | DR. GULICK NPI NUMBER | 1780756494 | 01 |
| OR | DR. GULICK DEA NUMBER | BG1600471 | 01 |
| OR | DR. GULICK LICENSE | DO15813 | 01 |
| Other Name | Type Code |
|---|---|
| SOUTHWEST FAMILY PHYSICIANS | Doing Business As Name - Organization |
| Street Address |
11900 SW GREENBURG RD |
| City | TIGARD |
| State | OR |
| Zip Code | 97223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457455917 | Renee Michelle Beninger | Nurse Practitioner | 11900 Sw Greenburg Rd, Tigard, OR 97223 | 2006-09-12 |
| 1548787708 | Heather L Jorgensen | Registered Nurse | 11900 Sw Greenburg Rd, Tigard, OR 97223 | 2017-08-28 |
| 1316311665 | Denyse Collins | Nurse Practitioner | 11900 Sw Greenburg Rd, Tigard, OR 97223-6453 | 2015-11-24 |
| 1730522392 | Jessica Lieu | Physician Assistant | 11900 Sw Greenburg Rd, Tigard, OR 97223-6453 | 2013-04-14 |
| 1134481898 | Anne Michelle Valente | Family Medicine | 11900 Sw Greenburg Rd, Tigard, OR 97223-6453 | 2012-06-08 |
| 1023385275 | Jessica Lachman Vincent | Physician Assistant | 11900 Sw Greenburg Rd, Tigard, OR 97223-6453 | 2011-11-16 |
| 1639302508 | Heather M Kitterman | Nurse Practitioner | 11900 Sw Greenburg Rd, Tigard, OR 97223-6453 | 2009-08-26 |
| 1801055801 | Cara Leone Chiyoko Kawahara | Family Medicine | 11900 Sw Greenburg Rd, Tigard, OR 97223-6453 | 2008-06-04 |
| 1245403575 | Simone Anna Crothers | Counselor | 11900 Sw Greenburg Rd, Tigard, OR 97223 | 2008-04-08 |
| 1043412000 | Colbie J Jorgensen | Physical Therapist | 11900 Sw Greenburg Rd, Tigard, OR 97223-6453 | 2007-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569635 | Doctors On Video | Family Medicine | 13215 Sw Hawks Beard St Apt 726, Tigard, OR 97223-2125 | 2020-05-08 |
| 1699060780 | Michael Keith Phelps | Family Medicine | 16083 Sw Upper Boones Ferry Rd, Suite 320, Tigard, OR 97224-7736 | 2011-06-16 |
| 1598953853 | Sheryl Adrienne Andress | Family Medicine | 7421 Sw Bridgeport Rd Ste 220, Tigard, OR 97224-7707 | 2007-10-11 |
| 1891881223 | Karla J Wottge | Family Medicine | 18040 Sw Lower Boones Ferry Rd Ste 100, Tigard, OR 97224-7259 | 2006-10-05 |
| 1386695732 | Katrenka R Rember | Family Medicine | 13200 Sw Pacific Hwy, Tigard, OR 97223 | 2006-05-12 |
| 1528031630 | Tanya Elizabeth Carter | Family Medicine | 9385 Sw Locust St # Dt, Tigard, OR 97223-6632 | 2006-02-09 |
| 1023005410 | Michael Shihjay Chen | Family Medicine | 9250 Sw Hall Blvd, Tigard, OR 97223-6721 | 2005-09-30 |
| 1346621232 | Vihangi Hindagolla | Family Medicine | 18040 Sw Lower Boones Ferry Rd Ste 304, Tigard, OR 97224-7259 | 2015-06-16 |
| 1205236445 | Bridgeport Family Medicine LLC | Family Medicine | 16083 Sw Upper Boones Ferry Rd, Ste 320, Tigard, OR 97224-7736 | 2014-08-25 |
| 1952735086 | Andrea Rose Tremaine | Family Medicine | 16083 Sw Upper Boones Ferry Rd Ste 130, Tigard, OR 97224-7737 | 2013-08-26 |
| Find all providers in TIGARD | ||||
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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.