Samuel William Bullick, D.O.
Internal Medicine, Pulmonary Disease in Portland, OR. Individual provider (NPI-1).
NPI number1386904662
StatusActive
Last updated in NPPESSep 5, 2018
Details
- NPI
- 1386904662
- Entity type
- Individual (NPI-1)
- Name
- Samuel William Bullick
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 21, 2012
- Last updated
- Sep 5, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | DO188659 | OR | Yes |
| 207R00000X | Internal Medicine | LL158520 | OR |
Practice location
1015 Nw 22nd AvePortland, OR 97210-3025
Phone 503-413-8407 · Fax 503-413-6951
Mailing address
Po Box 3777Portland, OR 97208-3777
Phone 503-413-3900 · Fax 503-413-3710
Other practice locations
4150 V St Ste 3400
Sacramento, CA 95817-1460
Sacramento, CA 95817-1460
Phone 916-734-4597
4150 V St Ste 3400
Sacramento, CA 95817-1460
Sacramento, CA 95817-1460
Phone 916-734-4597
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