NPI | 1124105044 |
---|---|
Doing Business As | INTEGRATED SPINE CARE |
Entity Type | Organization |
Authorized Contact | GREGORY GULLO President 503-512-1212 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OR MD26192) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-08-22 |