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Amicia Bullard, PA-C
NPI 1568549723 · on the registry since 2006
Practice
- Address
- 777 Murphy Rd
Medford, OR 97504 - Phone
- (541) 772-2763
- Organisation at this address
- Crc Health Oregon, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 62
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-30
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