STEPHEN S BULLOCK

PORTLAND, OR
NPI1164061016
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  25530)
Enumeration Date2019-12-24
Last Update Date2019-12-24
Business Address
STEPHEN S BULLOCK LMT
1720 SW 4TH AVE APT 313
PORTLAND, OR 97201-5531
Phone number: 443-562-9635
Mailing Address
STEPHEN S BULLOCK LMT
1720 SW 4TH AVE APT 313
PORTLAND, OR 97201-5531
Phone number: 443-562-9635
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