Individual provider · Type 1 NPI
Charles Ray Bullock
Speech/Language/Hearing Specialist/Technologist · Mcminnville, OR
NPI number
1023169554
Active
Practice location
2266 NE Mcdaniel Ln
Mcminnville, OR 97128-3247
Mailing address
16425 Old Condor Bridge Rd
Cloverdale, OR 97112-9658
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech/Language/Hearing Specialist/Technologist Primary | 235500000X | None listed |
Speech/Language/Hearing Specialist/Technologist: General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
Another provider at this address
About NPI 1023169554
Charles Ray Bullock's National Provider Identifier is 1023169554, issued on Jan 12, 2007. The primary taxonomy on file is Speech/Language/Hearing Specialist/Technologist (235500000X), and the practice location is in Mcminnville, OR. The record was last updated on Jul 8, 2007.