Provider Demographics
NPI:1831208479
Name:ZARELLI, GREG ROBERT (MD)
Entity type:Individual
Prefix:MR
First Name:GREG
Middle Name:ROBERT
Last Name:ZARELLI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10180 SE SUNNYSIDE RD
Mailing Address - Street 2:DEPT. OF NEUROLOGY, CLINIC C
Mailing Address - City:CLACKAMAS
Mailing Address - State:OR
Mailing Address - Zip Code:97015-8970
Mailing Address - Country:US
Mailing Address - Phone:503-571-7211
Mailing Address - Fax:503-571-3613
Practice Address - Street 1:10180 SE SUNNYSIDE RD
Practice Address - Street 2:DEPT. OF NEUROLOGY, CLINIC C
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-8970
Practice Address - Country:US
Practice Address - Phone:503-571-7211
Practice Address - Fax:503-571-3613
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORMD223382084N0400X
WAMD000389922084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology