Active NPI
Cynthia Gulick, PC
Doing business as Southwest Family Physicians
- Family Medicine Physician
- Tigard, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO15813
- Legal business name
- CYNTHIA GULICK, PC
- Doing business as
- Southwest Family Physicians
- Practice address
- 11900 SW Greenburg Rd
Tigard, OR 97223 - Phone
- (503) 620-5556
- Fax
- (503) 624-0118
- NPI assigned
- Apr 11, 2007
- Last updated
- Mar 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cynthia Gulick, DO
- Title
- Owner
- Phone
- (503) 620-5556
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA00425 | OR | |
| Medical Physician Assistant | 363AM0700X | PA00890 | OR | |
| Medical Physician Assistant | 363AM0700X | PA00941 | OR | |
| Medical Physician Assistant | 363AM0700X | PA00474 | OR | |
| Family Nurse Practitioner | 363LF0000X | 096007344 | OR | |
| Family Nurse Practitioner | 363LF0000X | 91007287 | OR | |
| Family Nurse Practitioner | 363LF0000X | 079044143N1 | OR | |
| Advanced Practice Midwife | 367A00000X | 095006531 | OR | |
| Advanced Practice Midwife | 367A00000X | 200350075 | OR | |
| Family Medicine Physician | 207Q00000X | DO20679 | OR | |
| Family Medicine Physician | 207Q00000X | DO14860 | OR | |
| Family Medicine Physician | 207Q00000X | MD28256 | OR | |
| Family Medicine Physician | 207Q00000X | DO15813 | OR | Primary |
Addresses
Primary practice location
11900 SW Greenburg Rd
Tigard, OR 97223
Mailing address
11900 SW Greenburg Rd
Tigard, OR 97223-6453
Phone (503) 620-5556
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780756494 | Other | OR | DR. GULICK NPI NUMBER |
| DO15813 | Other | OR | DR. GULICK LICENSE |
Other names 1
- SOUTHWEST FAMILY PHYSICIANS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D0713345 | Southwest Family Physicians | Accreditation | Jan 11, 2028 |
National Provider Directory
National Provider DirectoryLocations
11900 SW Greenburg Rd
Tigard, OR 97223
Phone (503) 386-5424
11910 SW Greenburg Rd
Tigard, OR 97223
Phone (503) 597-1151
11970 SW Greenburg Rd
Tigard, OR 97223
Phone (503) 624-8304
Practitioners & affiliated clinicians
Practitioners 50
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Tigard, OR
- NPI 1780756494
-
- Family Medicine Physician
- Tigard, OR
- NPI 1699286153
-
- Family Nurse Practitioner
- Portland, OR
- NPI 1457455917
-
- Family Medicine Physician
- Portland, OR
- NPI 1487646238
-
- Sports Medicine (Family Medicine) Physician
- Albany, OR
- NPI 1528358793
-
- Physical Therapist
- Portland, OR
- NPI 1770101776
-
- Family Medicine Physician
- Milwaukie, OR
- NPI 1588105415
-
- Women's Health Nurse Practitioner
- Dallas, OR
- NPI 1205286689
-
- Physician Assistant
- Beaverton, OR
- NPI 1225629298
-
- Psychiatry Physician
- Portland, OR
- NPI 1558325902
-
- Physical Medicine & Rehabilitation Physician
- Clackamas, OR
- NPI 1902915069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1467675009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11900 SW GREENBURG RD",
"city": "TIGARD",
"state": "OR",
"postal_code": "972236453",
"telephone_number": "503-620-5556",
"fax_number": "503-624-0118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11900 SW GREENBURG RD",
"city": "TIGARD",
"state": "OR",
"postal_code": "97223",
"telephone_number": "503-620-5556",
"fax_number": "503-624-0118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CYNTHIA GULICK, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-11",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "GULICK",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-620-5556",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OR",
"license": "PA00425",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OR",
"license": "PA00890",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OR",
"license": "PA00941",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OR",
"license": "PA00474",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "096007344",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "91007287",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "079044143N1",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OR",
"license": "095006531",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OR",
"license": "200350075",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "DO20679",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "DO14860",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD28256",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "DO15813",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR. GULICK NPI NUMBER",
"identifier": "1780756494",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR. GULICK LICENSE",
"identifier": "DO15813",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SOUTHWEST FAMILY PHYSICIANS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SOUTHWEST FAMILY PHYSICIANS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.