Monica J Gulley, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD185566 Issued in OR

Practice address

12710 SE Division St
Portland, OR 97236

Phone

(503) 988-5558

NPI assigned

Jul 6, 2011

Last updated

Apr 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Oregon Health Sciences University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

One Community HealthGroup PAC ID 6305759283, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Hood River Memorial Hospital Hospital, Hood River, OR, CCN 381318

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• One Community Health

  dba La Clinica del Carino Family Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hood River, OR
  • NPI 1851385918
  Medicare reassignment Care Compare group NPD
• Columbia Gorge Medical Center PC

  dba Columbia Gorge Family Medicine

  • Clinic/Center
  • Hood River, OR
  • NPI 1558346064
  Medicare reassignment NPD
• Multnomah County

  dba Multnomah County Health Dept, North Portland

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1609914787
  Medicare reassignment NPD
• Columbia Gorge Medical Center PC

  dba Columbia Gorge Family Medicine

  • Rural Health Clinic/Center
  • Hood River, OR
  • NPI 1821364944
  NPD
• Multnomah County

  dba Multnomah County Health Department,PH

  • State or Local Public Health Clinic/Center
  • Portland, OR
  • NPI 1275702201
  NPD
• Multnomah County

  • Federally Qualified Health Center (FQHC)
  • Gresham, OR
  • NPI 1912322074
  NPD
• One Community Health

  • Community/Retail Pharmacy
  • The Dalles, OR
  • NPI 1104666064
  NPD
• Providence Health & Services Oregon

  dba Providence Hood River Memorial Hospital

  • Critical Access Hospital
  • Hood River, OR
  • NPI 1255429338
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health & Services Oregon

  dba Providence Hood River Memorial Hospital

  • Critical Access Hospital
  • Hood River, OR
  • NPI 1255429338
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1447547807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12710 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972363134",
            "telephone_number": "503-988-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12710 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97236",
            "telephone_number": "503-988-5558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 Varnum Street, NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200172104",
            "country_code": "US",
            "telephone_number": "202-854-4812",
            "fax_number": "202-854-7825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULLEY",
        "first_name": "MONICA",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD185566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Gulick
• Brianna Lynn Gulker, RDN
• Caroline Gulla, RN
• Jeanette L Gullen, CLD
• Joseph Robert Gullerud, PA-C
• Jeffrey James Gulliford
• Brandi Lynn Gulliksen, CADC-R
• Julia Lorraine Gullikson
• Alison C Gullion, MA
• Lily Gullion, MS, OTR/L

• Family Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.