ABIGAIL ROSE LEI BULLOCK

MCMINNVILLE, OR
NPI1821670670
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-04-22
Last Update Date2021-04-22
Business Address
ABIGAIL ROSE LEI BULLOCK
420 NE 5TH ST
MCMINNVILLE, OR 97128-4603
Phone number: 503-434-7462
Mailing Address
ABIGAIL ROSE LEI BULLOCK
37 NE 78TH AVE
PORTLAND, OR 97213-6332
Phone number: 503-319-4782