Gregory Gullo MD PC
Gregory Gullo MD PC is a healthcare organization registered as Pain Medicine (Anesthesiology) Physician in Gresham, OR, holding Type 2 (organization) NPI 1124105044 since 2006. The authorized official on file is Gregory Gullo, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124105044 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Gregory Gullo MD PC |
| Other name | <Unavail> |
| Practice address | 24076 SE STARK ST, SUITE 320, Gresham, OR, 97030 |
| Phone | 5035121212 |
| Fax | 5035121220 |
| Enumeration date | 2006-11-01 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Gregory Gullo |
|---|---|
| Title | President |
| Phone | 5035121212 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | Primary | MD26192 | OR |
Copy-ready billing details
Provider: Gregory Gullo MD PC NPI: 1124105044 Taxonomy: 207LP2900X (Pain Medicine (Anesthesiology) Physician) Address: 24076 SE STARK ST, SUITE 320, Gresham, OR, 97030
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1720070873 | Shammai Rockove | Individual | Urology Physician | Gresham, OR |
| 1881687945 | Cheryl Springer | Individual | Surgical Physician Assistant | Gresham, OR |
| 1063401198 | Gresham Professional Pharmacy | Organization | Community/Retail Pharmacy | Gresham, OR |
| 1043292311 | Clem Eischen | Individual | Physical Therapist | Gresham, OR |
| 1386619534 | Heather Odell | Individual | Orthopedic Physical Therapist | Gresham, OR |
| 1265407019 | Roya Mansouri | Individual | Otolaryngology Physician | Gresham, OR |
| 1649245499 | Roger Wobig | Individual | Otolaryngology Physician | Gresham, OR |
| 1104875053 | Mountainview Mri LLC | Organization | Physiological Laboratory | Gresham, OR |
Verify this record
Cross-check NPI 1124105044 against the authoritative CMS record: view Gregory Gullo MD PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Gregory Gullo MD PC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-08-22.