Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES RAY BULLOCK
ActiveCHARLES RAY BULLOCK is a Speech-Language Pathologist healthcare provider located in MCMINNVILLE, Oregon. NPI 1023169554 is currently active in the NPPES registry. Verify at CMS.
Speech-Language Pathologist · MCMINNVILLE, OR
Registration Details
- NPI Number
- 1023169554
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 12, 2007 (19.405209341892 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
2266 NE MCDANIEL LNMCMINNVILLE, OR, 971283247Browse OR providers · Browse ZIP 97128
- Phone
- 5034352083
- Primary Specialty
-
Speech-Language Pathologist
235500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.