Individual provider · Type 1 NPI

Mark B. Bullock, LPC, LMHC

Mental Health Counselor · Portland, OR

NPI number 1659690907 Active

Practice location

5200 SW Macadam Ave, Suite 580
Portland, OR 97239-6103

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC4410 (OR)

Mental Health Counselor: Definition to come...

39 other providers at this address

Other mental health counselor providers in Portland

See all in Portland →

About NPI 1659690907

Mark B. Bullock, LPC, LMHC's National Provider Identifier is 1659690907, issued on May 26, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Mar 6, 2017.