Bullick, Samuel William
Bullick, Samuel William is an individual health care provider with primary practice located at 1015 Nw 22Nd Ave , Portland OR 97210-3025. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Bullick, Samuel William can be contacted via phone (503) 413-8407.Contact Information
Primary practice address
1015 Nw 22Nd Ave
Portland OR 97210-3025
Phone: (503) 413-8407
Fax: (503) 413-6951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | LL158520 | Oregon |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | DO188659 | Oregon |
Profile Details
| NPI number | 1386904662 |
|---|---|
| LBN Legal business name | Bullick, Samuel William |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2012 |
| Last updated | Sep 5th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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