Search › Washington › 175T00000X
Liamara Bullock, AA, CPSS
NPI 1073223665 · on the registry since 2022
Practice
- Address
- 1400 Commerce Ave
Longview, WA 98632 - Phone
- (360) 998-2047
- Fax
- (360) 200-6736
- Clinicians at this address
- 64
Additional practice sites
- 748 14th Ave, Longview, WA
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Also registered as
- 101Y00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-24
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 Washington