OrganizationActive
Gregory Gullo MD PC
NPI 1124105044 · Pain Medicine (Anesthesiology) Physician · Gresham, OR
Provider details
- NPI number
- 1124105044
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gregory Gullo, President(503) 512-1212
- License
- MD26192 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
24076 Se Stark St
Suite 320
Gresham, OR 97030-3373
Phone: (503) 512-1212
Fax: (503) 512-1220
Approximate (ZIP-level) locationGet directions
Mailing address
24076 Se Stark St
Gresham, OR 97030-3373
Other names (DBA / former)
- Doing business as
- Integrated Spine Care
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.