MARK B BULLOCK

PORTLAND, OR
NPI1659690907
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  C4410)
Enumeration Date2010-05-26
Last Update Date2017-03-06
Business Address
Mr. MARK B BULLOCK LPC, LMHC
5200 SW MACADAM AVE SUITE 580
PORTLAND, OR 97239-6103
Phone number: 503-290-3263
Mailing Address
Mr. MARK B BULLOCK LPC, LMHC
5200 SW MACADAM AVE 580
PORTLAND, OR 97239-6103
Phone number: 503-290-3263