SAMUEL WILLIAM BULLICK D.O.
Individual Provider (NPI-1)
Active
Internal Medicine, Pulmonary Disease
Provider Information
- NPI Number
1386904662- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.O.
- Status
- Active
Contact & Location
- Address
- 1015 NW 22ND AVE, PORTLAND, OR, 972103025
- Phone
- (503) 413-8407
- Fax
- (503) 413-6951
Specialties & Taxonomies
Internal Medicine
License: OR #LL158520
Internal Medicine, Pulmonary Disease
Primary License: OR #DO188659