NPI

Garth Grant Gulick

NPI 1710188032

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
MD
Type
Individual
Enumeration date
2007-05-31
Last updated
2026-01-14

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Specialties

Licenses

License ID
M8925
License OR
MD18963

Location

Practice location
17 S 3rd St
City
Nyssa OR
Postal code
97913-3815
Phone
(208) 642-9376

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Nyssa, OR. 19 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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