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General NPI Number Information
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NPI Number | 1467675009
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Entity Type | Organization
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Legal Business Name | CYNTHIA GULICK, PC
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 11900 SW GREENBURG RD
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City | TIGARD
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State | OR
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Zip | 97223
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Country | US
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Telephone | 503-620-5556
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Fax | 503-624-0118
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Provider Business Mailing Address
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Address Line | 11900 SW GREENBURG RD
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City | TIGARD
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State | OR
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Zip | 97223-6453
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Country | US
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Telephone | 503-620-5556
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Fax | 503-624-0118
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CYNTHIA GULICK
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Credential | DO
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Telephone | 503-620-5556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO20679
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO14860
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD28256
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA00425
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License Number State | OR
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Taxonomy #5
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA00890
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License Number State | OR
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Taxonomy #6
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA00941
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License Number State | OR
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Taxonomy #7
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA00474
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License Number State | OR
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 096007344
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License Number State | OR
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 91007287
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License Number State | OR
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Taxonomy #10
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 079044143N1
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License Number State | OR
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Taxonomy #11
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 095006531
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License Number State | OR
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Taxonomy #12
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 200350075
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License Number State | OR
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Taxonomy #13
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO15813
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License Number State | OR
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