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Active NPI 1124105044 Organization (Entity Type 2)

Gregory Gullo Md Pc

Anesthesiology - Pain Medicine • Gresham, OR

About Gregory Gullo Md Pc NPI 1124105044 Summary

Gregory Gullo Md Pc is a verified healthcare organization specializing in Anesthesiology - Pain Medicine operating in Gresham, OR. Located at 24076 SE STARK ST, SUITE 320, this facility provides patient care and medical services under National Provider Identifier (NPI) 1124105044.

Administrative operations and authorized compliance are overseen by Gregory Gullo (President).

The facility is associated with 20 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

24076 Se Stark St
Suite 320

Gresham, OR 970303373

Telephone 5035121212

Fax 5035121220

Authorized Official Information

Authorized Contact Name

DR. Gregory Gullo , MD

Title / Role

President

Official Telephone

5035121212

Facility Classifications & Specialties

Anesthesiology - Pain Medicine Primary Taxonomy

NUCC Taxonomy Code: 207LP2900X

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

20 Linked

Clem Eischen , PT NPI 1043292311

Physical Therapist

Gresham, OR

View Practitioner Profile →

Dr. Bobak Ghaheri , MD NPI 1114098696

Otolaryngology

Gresham, OR

View Practitioner Profile →

Dr. Glen Milligan , MD NPI 1144398801

Specialist

Gresham, OR

View Practitioner Profile →

Jess Meyer , PA-C NPI 1245256981

Physician Assistant - Surgical

Gresham, OR

View Practitioner Profile →

Dr. Roya Mansouri , MD NPI 1265407019

Otolaryngology

Gresham, OR

View Practitioner Profile →

Dr. Timothy Mineo , DPM NPI 1275730459

Podiatrist - Foot & Ankle Surgery

Gresham, OR

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 24076 SE STARK ST, SUITE 320, GRESHAM, OR 970303373 (Tel: 5035121212)

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Updated Business Mailing Address July 08, 2007

Registered at 24076 SE STARK ST, SUITE 320, GRESHAM, OR 970303373 (Tel: 5035121212)

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Organization / Clinic Name Updated July 08, 2007

Operating as GREGORY GULLO MD PC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Anesthesiology (License #MD26192 in OR)

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Initial NPI Registration & Enumeration November 01, 2006

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1124105044

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: November 01, 2006

Last Update: August 22, 2020

Update or Correct Listing

Mailing Address

24076 Se Stark St, Suite 320

Gresham, OR 970303373

Phone: 5035121212

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.