person
Mr. Mark B Bullock, LPC,LMHC
Mental Health Counselor in Portland, Oregon
NPI 1659690907

Mark B Bullock is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Mark B Bullock practices in Portland, OR and has the professional credentials of LPC,LMHC. The NPI Number for Mark B Bullock is 1659690907 and holds a License No. C4410 (Oregon).

The current practice location address for Mark B Bullock is 5200 Sw Macadam Ave, Portland, OR and can be reached out via phone at 503-290-3263.

Location: 5200 Sw Macadam Ave, Portland, OR, 97239-6103
person
Provider Profile Details
NPI Number
1659690907
Provider Name
Mark B Bullock
Credential
LPC,LMHC
Provider Entity Type
Individual
Gender
Male
Address
5200 Sw Macadam Ave, Portland, OR, 97239-6103
Phone Number
503-290-3263
Fax Number
Provider Enumeration Date
05/26/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5200 Sw Macadam Ave
City
State
Zip
97239-6103
Phone Number
503-290-3263
Fax Number
person
Provider Business Mailing Address Details
Address
5200 Sw Macadam Ave
City
State
Zip
97239-6103
Phone Number
503-290-3263
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C4410 (Oregon)
Definition
Definition to come...
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