Pulk, Bernard Jeffrey

Pulk, Bernard Jeffrey is an individual health care provider with primary practice located at 301 Cherry Heights Rd , The Dalles OR 97058-3586. He recently has 6 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Occupational Vision, Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Pulk, Bernard Jeffrey can be contacted via phone (541) 296-1101.

Contact Information

Primary practice address
301 Cherry Heights Rd The Dalles OR 97058-3586
Fax: (541) 298-1538
Website:

Profile Details

NPI number 1689653354
LBN Legal business name Pulk, Bernard Jeffrey
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jul 13th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689653354 NPPES
Oregon MEDICAID 1689653354
Oregon MEDICAID 4351130

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