Search › Oregon › 207RP1001X
Samuel Bullick, D.O
NPI 1386904662 · on the registry since 2012
Practice
- Address
- 1015 Nw 22nd Ave
Portland, OR 97210 - Phone
- (503) 413-8407
- Fax
- (503) 413-6951
- Organisation at this address
- Team Health
Mark A Crislip
Victor N Takla Md Llc
Criag W. Calhoun Md Pc
Diagnostic Imaging, Nw PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 206
Additional practice sites
- 4150 V St Ste 3400, Sacramento, CA
- 4150 V St Ste 3400, Sacramento, CA
Registry record
- Primary taxonomy
- 207RP1001X
207RP1001X
- Also registered as
- 207R00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-09-05
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