person
Gina M Bullock, DPM
Foot & Ankle Surgery Podiatrist in Portland, Oregon
NPI 1255440020

Gina M Bullock is a Foot & Ankle Surgery Podiatrist based in Portland, OR and is specialized in Foot & Ankle Surgery. Gina M Bullock practices in Portland, OR and has the professional credentials of DPM. The NPI Number for Gina M Bullock is 1255440020 and holds a License No. DP00244 (Oregon).

The current practice location address for Gina M Bullock is 3508 Ne Broadway St, Portland, OR and can be reached out via phone at 503-282-8777 and via fax at 503-282-8853. You can also correspond with Gina M Bullock through the mailing address at 3508 NE BROADWAY ST, PORTLAND, OR - 97232-1821 (mailing address contact number: 503-282-8777).

Location: 3508 Ne Broadway St, Portland, OR, 97232-1821
person
Provider Profile Details
NPI Number
1255440020
Provider Name
Gina M Bullock
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
3508 Ne Broadway St, Portland, OR, 97232-1821
Phone Number
503-282-8777
Fax Number
503-282-8853
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
083431 05 OR
institution
Provider Business Practice Location Address Details
Address
3508 Ne Broadway St
City
State
Zip
97232-1821
Phone Number
503-282-8777
Fax Number
503-282-8853
person
Provider Business Mailing Address Details
Address
3508 Ne Broadway St
City
State
Zip
97232-1821
Phone Number
503-282-8777
Fax Number
503-282-8853
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
DP00244 (Oregon)
Definition
Definition to come...
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