GREGORY GULLO, MD PC (NPI# 1548558323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548558323 |
| Entity Type | Organization |
| Organization Name | GREGORY GULLO, MD PC |
| Other Organization Name | INTEGRATED SPINE CARE |
| Practice Address |
10101 Se Main St Suite 2014 Portland OR 97216-2455 |
| Mailing Address |
24076 Se Stark St Suite 320 Gresham OR 97030-3373 |
| Practice Telephone | 5035121212 |
| Practice Fax Number | 5035121220 |
| Mailing Telephone | 5035121212 |
| Mailing Fax Number | 5035121220 |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-07-14 |
| Authorized Official Name | GREGORY GULLO (PRESIDENT) |
| Authorized Official Telephone | 5035121212 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD26192 | OR | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Integrated Spine Care | Doing Business As Name - Organization |
| Street Address |
10101 SE MAIN ST SUITE 2014 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216-2455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940075 | John W. Griffin | Internal Medicine | 10101 Se Main St, Ste 2001, Portland, OR 97216-2457 | 2005-05-24 |
| 1407390206 | Ansley Hill | Dietitian, Registered | 10101 Se Main St, Suite 1001, Portland, OR 97216-2455 | 2016-12-13 |
| 1710420278 | Portland Adv Medical Center | General Acute Care Hospital | 10101 Se Main St, Suite 1001, Portland, OR 97216-2455 | 2016-11-30 |
| 1831647593 | David N Carothers Dds PC | Dentist | 10101 Se Main St, Suite 3009, Portland, OR 97216-2455 | 2016-09-12 |
| 1518388495 | Jessica Anne Richards | Dietitian, Registered | 10101 Se Main St, Suite 1001, Portland, OR 97216-2455 | 2013-12-19 |
| 1124397062 | Mlb Nutrition & Wellness, LLC | Dietitian, Registered | 10101 Se Main St, Portland, OR 97216-2455 | 2011-12-21 |
| 1831482439 | Harpreet Kaur | Psychiatry & Neurology | 10101 Se Main St, Ste 1006, Portland, OR 97216-2456 | 2011-05-16 |
| 1356650949 | Arnold L Petersen II Md PC | Obstetrics & Gynecology | 10101 Se Main St, Suite 2011, Portland, OR 97216-2455 | 2010-09-29 |
| 1356573059 | Dulcinea Marie Ward | Dietitian, Registered | 10101 Se Main St, Suite 2014, Portland, OR 97216-2455 | 2009-08-13 |
| 1689812430 | Mt. Hood Imaging, LLC | Clinic/Center | 10101 Se Main St, Suite 2004, Portland, OR 97216-2455 | 2009-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536560 | Irina A Mcgaughey | Specialist | 610 Sw Alder St Ste 920, Portland, OR 97205-3610 | 2020-10-19 |
| 1780294181 | Cynthia R Mendoza | Specialist | 2245 Se Powell Blvd, Portland, OR 97202-2143 | 2020-07-31 |
| 1679199335 | Alter Image, Inc. | Specialist | 2340 Se Gladstone St, Portland, OR 97202-2962 | 2020-06-18 |
| 1770044281 | Donnissa Smith | Specialist | 117 Se 129th Ave, Portland, OR 97233-1503 | 2019-03-27 |
| 1588191258 | Jason Moore | Specialist | 522 Ne Thompson St, Portland, OR 97212-3843 | 2017-05-12 |
| 1578097218 | Alicia N Keys | Specialist | 10480 Sw Eastridge St Apt 88, Portland, OR 97225-5047 | 2017-04-19 |
| 1942734736 | Mom By Lj | Specialist | 2906 N Willamette Blvd, Portland, OR 97217-4073 | 2017-04-18 |
| 1659811198 | Ricardo H. Medina | Specialist | 1400 Nw Irving St Apt 709, Portland, OR 97209-2260 | 2017-03-02 |
| 1730626805 | Jennifer Frank | Specialist | 1008 Se 112th Ave, Portland, OR 97216-3516 | 2017-01-26 |
| 1720523012 | Andrea Lett | Specialist | 4627 Ne 30th Ave, Portland, OR 97211-7001 | 2016-12-22 |
| Find all providers in PORTLAND | ||||
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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.