NPI 1023169554

Charles Ray Bullock

Practitioner Speech/Language/Hearing Specialist/Technologist McMinnville, OR

Practice location

Address: 2266 NE McDaniel Ln, McMinnville, OR 97128-3247
Phone: (503) 435-2083
Mailing address: 16425 Old Condor Bridge Rd, Cloverdale, OR 97112-9658

Registered specialties

Speech/Language/Hearing Specialist/Technologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235500000X

Other Specialist/Technologist providers in Oregon →

Registry record

NPI: 1023169554
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.