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1659690907
MARK B BULLOCK
PORTLAND, OR
NPI
1659690907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C4410)
Enumeration Date
2010-05-26
Last Update Date
2017-03-06
Business Address
Mr. MARK B BULLOCK LPC, LMHC
5200 SW MACADAM AVE SUITE 580
PORTLAND, OR 97239-6103
Phone number: 503-290-3263
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Mailing Address
Mr. MARK B BULLOCK LPC, LMHC
5200 SW MACADAM AVE 580
PORTLAND, OR 97239-6103
Phone number: 503-290-3263
Copy
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