GINA M BULLOCK

PORTLAND, OR
NPI1255440020
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: OR  DP00244)
Enumeration Date2006-08-29
Last Update Date2023-03-07
Business Address
-- GINA M BULLOCK DPM
3508 NE BROADWAY ST
PORTLAND, OR 97232-1821
Phone number: 503-282-8777
Mailing Address
-- GINA M BULLOCK DPM
3508 NE BROADWAY ST
PORTLAND, OR 97232-1821
Phone number: 503-282-8777
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