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Stephen Bullock, LMT
NPI 1164061016 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1720 Sw 4th Ave Apt 313
Portland, OR 97201 - Phone
- (443) 562-9635
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon