Bullock, Charles Ray

Bullock, Charles Ray is an individual health care provider with primary practice located at 2266 Ne Mcdaniel Ln , Mcminnville OR 97128-3247. He recently has only one registered license in Speech, Language and Hearing Service Providers / Specialist/Technologist, which is considered as his primary health care specialty. Bullock, Charles Ray can be contacted via phone (503) 435-2083.

Contact Information

Primary practice address
2266 Ne Mcdaniel Ln Mcminnville OR 97128-3247
Phone: (503) 435-2083
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Specialist/Technologist 235500000X

Profile Details

NPI number 1023169554
LBN Legal business name Bullock, Charles Ray
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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