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Charles Ray Bullock
Speech/Language/Hearing Specialist/Technologist in Mcminnville, Oregon
NPI 1023169554

Charles Ray Bullock is a Speech/Language/Hearing Specialist/Technologist based in Cloverdale, OR. Charles Ray Bullock practices in Mcminnville, OR. The NPI Number for Charles Ray Bullock is 1023169554 and holds a License No. (Oregon).

The current practice location address for Charles Ray Bullock is 2266 Ne Mcdaniel Ln, Mcminnville, OR and can be reached out via phone at 503-435-2083. You can also correspond with Charles Ray Bullock through the mailing address at 16425 OLD CONDOR BRIDGE RD, CLOVERDALE, OR - 97112-9658 (mailing address contact number: 503-435-2083).

Location: 2266 Ne Mcdaniel Ln, Mcminnville, OR, 97112-9658
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023169554
Provider Name
Charles Ray Bullock
Credential
Provider Entity Type
Individual
Gender
Male
Address
2266 Ne Mcdaniel Ln, Mcminnville, OR, 97112-9658
Phone Number
503-435-2083
Fax Number
Provider Enumeration Date
01/12/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2266 Ne Mcdaniel Ln
City
Mcminnville
State
Oregon
Zip
97128-3247
Phone Number
503-435-2083
Fax Number
person
Provider Business Mailing Address Details
Address
16425 Old Condor Bridge Rd
City
Cloverdale
State
Oregon
Zip
97112-9658
Phone Number
503-435-2083
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
-
Taxonomy
235500000X
License No.
()
Definition
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
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