Gullo, Geoffrey M
Gullo, Geoffrey M is an individual health care provider with primary practice located at 335 Se 8Th Ave , Hillsboro OR 97123-4246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Gullo, Geoffrey M can be contacted via phone (513) 681-1109.Contact Information
Primary practice address
335 Se 8Th Ave
Hillsboro OR 97123-4246
Phone: (513) 681-1109
Fax: (503) 681-1835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD24515 | Oregon |
Profile Details
| NPI number | 1063589026 |
|---|---|
| LBN Legal business name | Gullo, Geoffrey M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Sep 21st, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063589026 | NPPES |
| Oregon | MEDICAID | 227540 |
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