Willamette Procedure Center PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WILLAMETTE PROCEDURE CENTER PC

Practice address

2020 8TH Ave Ste 212
West Linn, OR 97068-4657

Phone

(541) 488-2101

Fax

(541) 488-5885

NPI assigned

Jul 18, 2013

Organization subpart

No

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

Authorized official

Name

Greg Gullo, MD

Title

Owner

Phone

(541) 488-2101

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1649612698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 8TH AVE STE 212",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684657",
            "telephone_number": "541-488-2101",
            "fax_number": "541-488-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 8TH AVE STE 212",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684657",
            "telephone_number": "541-488-2101",
            "fax_number": "541-488-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE PROCEDURE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "GULLO",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-488-2101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willamette Eye Health LLC
• Willamette Falls Chiropractic Clinic, LLC
• Willamette Falls Hospital
• Willamette Nurse Consultant Group LLC
• Willamette Pain and Spine Center, PC
• Kelly Anne Williams, RN
• Anne Marie Wilson, RN
• Megan Nichole Wimberly, FNP-BC
• Addison Brown Wise, PT, DPT
• Adria Withrow

• Ambulatory Surgical Clinic/Center in West Linn, OR
• Providers in West Linn, OR by specialty
• Ambulatory Surgical Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.