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1184473324
GRETA LAUREN BULLOCK
PORTLAND, OR
NPI
1184473324
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 6869)
Enumeration Date
2024-05-17
Last Update Date
2024-05-17
Business Address
GRETA LAUREN BULLOCK PT, DPT
2900 SE 122ND AVE
PORTLAND, OR 97236-3206
Phone number: 503-256-6500
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Mailing Address
GRETA LAUREN BULLOCK PT, DPT
4135 NE 78TH AVE
PORTLAND, OR 97218-3925
Phone number: 503-539-2655
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