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1710393723
JOSEPH ROBERT GULLERUD
PORTLAND, OR
NPI
1710393723
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OR PA182582)
Enumeration Date
2014-07-10
Last Update Date
2023-11-22
Business Address
JOSEPH ROBERT GULLERUD PA-C
9155 SW BARNES RD STE 536
PORTLAND, OR 97225-6785
Phone number: 503-935-8100
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Mailing Address
JOSEPH ROBERT GULLERUD PA-C
541 NE 20TH AVE STE 225
PORTLAND, OR 97232-2895
Phone number: 503-963-2801
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