Gregory Gullo, MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD26192 Issued in OR

Legal business name

GREGORY GULLO, MD PC

Doing business as

Integrated Spine Care

Practice address

10101 SE Main St
Suite 2014
Portland, OR 97216-2455

Phone

(503) 512-1212

Fax

(503) 512-1220

NPI assigned

Jul 14, 2011

Organization subpart

No

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

Authorized official

Name

Gregory Gullo, MD

Title

President

Phone

(503) 512-1212

Specialties & licenses 1

Addresses

Other names 1

• Integrated Spine Care Doing business as

Locations

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1548558323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24076 SE STARK ST",
            "address_2": "SUITE 320",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303373",
            "telephone_number": "503-512-1212",
            "fax_number": "503-512-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 SE MAIN ST",
            "address_2": "SUITE 2014",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162455",
            "telephone_number": "503-512-1212",
            "fax_number": "503-512-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY GULLO, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "GULLO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-512-1212",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD26192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Spine Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Elisa Gregoire, PA-C
• Magdalena Gregorczyk
• Joy Gloria Gregorio, MA, CCC-SLP
• Maria Gia Gregorio, M.D.
• Sarah Gregorio, LCSW
• Gregory N Alexander DDS PC
• Charles Gregory
• Elizabeth Marie Gregory, M.A.
• Janet Gregory, SLP
• Jay D. Gregory, PH.D.

• Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.