Dr Kristina Devin Gulliver, MD - Medicare Pediatrics in Portland, OR

Dr Kristina Devin Gulliver, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Portland, Oregon. Her current practice location is 501 N Graham Street, Suite 265, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 282-7002.

Dr Kristina Devin Gulliver is licensed to practice in Oregon (license number MD198068) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265850952.

Contact Information

Dr Kristina Devin Gulliver, MD
501 N Graham Street, Suite 265,
Portland, OR 97227
(503) 282-7002
(503) 280-1290

Map and Direction




Physician's Profile

Full NameDr Kristina Devin Gulliver
GenderFemale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location501 N Graham Street, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265850952
  • Provider Enumeration Date: 03/31/2014
  • Last Update Date: 12/07/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6002117298
  • Enrollment ID: I20151211001626

Medical Identifiers

Medical identifiers for Dr Kristina Devin Gulliver such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265850952NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine 9550276-1205 (Utah)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine MD.MD.61048911 (Washington)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine MD198068 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kristina Devin Gulliver is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kristina Devin Gulliver, MD
501 N Graham Street, Suite 265,
Portland, OR 97227

Ph: (503) 282-7002
Dr Kristina Devin Gulliver, MD
501 N Graham Street, Suite 265,
Portland, OR 97227

Ph: (503) 282-7002

Reviews and Comments


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