Active NPI
Paul Gylling, RT
- Radiologic Technologist
- Beaverton, OR
National Provider Identifier
1609197904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- 170812
- Practice address
- 6160 SW Arctic Dr
Beaverton, OR 97005-9448 - Phone
- (503) 646-7777
- Fax
- (503) 786-9729
- NPI assigned
- Jun 21, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | 170812 | OR | Primary |
Addresses
Primary practice location
6160 SW Arctic Dr
Beaverton, OR 97005-9448
Mailing address
PO Box 66500
Portland, OR 97290-6500
Phone (503) 657-8663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170812 | OR | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277078400000",
"number": "1609197904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 66500",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972906500",
"telephone_number": "503-657-8663",
"fax_number": "503-723-3180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6160 SW ARCTIC DR",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970059448",
"telephone_number": "503-646-7777",
"fax_number": "503-786-9729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GYLLING",
"first_name": "PAUL",
"credential": "RT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-21",
"last_updated": "2010-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "OR",
"license": "170812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.