MR. MARK B BULLOCK (NPI# 1659690907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659690907 |
| Entity Type | Individual |
| Full Name | MR. MARK B BULLOCK |
| Credential | LPC, LMHC |
| Practice Address |
5200 Sw Macadam Ave Suite 580 Portland OR 97239-6103 |
| Mailing Address |
5200 Sw Macadam Ave 580 Portland OR 97239-6103 |
| Practice Telephone | 5032903263 |
| Mailing Telephone | 5032903263 |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2017-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C4410 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346370277 | Mark Dana Bullock | Counselor | 6160 E Hayden Lake Rd, Hayden, ID 83835-7594 | 2007-03-07 |
| 1962419697 | Mark Richmond Bullock | Dentist | 1034 N Willis St, Abilene, TX 79603-4622 | 2006-08-02 |
| 1134482532 | Mark Jeffrey Bullock | Podiatrist | 5483 Gratiot Rd, Saginaw, MI 48638-6037 | 2012-06-20 |
| 1699835017 | Mark Daniel Bullock | Orthopaedic Surgery | 11055 Little Patuxent Pkwy, Suite L-1, Columbia, MD 21044-2896 | 2006-12-08 |
| Street Address |
5200 SW MACADAM AVE SUITE 580 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-6103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861453979 | Therapy Solutions for Kids, LLC | Physical Therapist | 5200 Sw Macadam Ave, Portland, OR 97239-6103 | 2006-03-29 |
| 1225691504 | Megan K Mulcahy | Occupational Therapist | 5200 Sw Macadam Ave, Portland, OR 97239-6103 | 2019-04-22 |
| 1003383290 | Elise M Bowlby | Occupational Therapist | 5200 Sw Macadam Ave, Portland, OR 97239-6103 | 2018-10-25 |
| 1558889329 | Larissa Peizer | Speech-Language Pathologist | 5200 Sw Macadam Ave, Portland, OR 97239-6103 | 2017-08-31 |
| 1851827083 | Gianna Simon | Speech-Language Pathologist | 5200 Sw Macadam Ave, Suite 100, Portland, OR 97239-6103 | 2017-05-09 |
| 1144779810 | Janet Kittleson | Occupational Therapist | 5200 Sw Macadam Ave, 100, Portland, OR 97239-6103 | 2016-09-23 |
| 1013374180 | Alysa Romano | Counselor | 5200 Sw Macadam Ave, Ste. 580, Portland, OR 97239-6103 | 2016-01-20 |
| 1497127971 | Jennifer Ruka | Registered Nurse | 5200 Sw Macadam Ave, Portland, OR 97239-6103 | 2015-10-23 |
| 1023496635 | Jaime Larson | Psychologist | 5200 Sw Macadam Ave, Suite 580, Portland, OR 97239-6103 | 2015-05-14 |
| 1780062836 | Leslie Ann Coonc | Occupational Therapist | 5200 Sw Macadam Ave, Ste 100, Portland, OR 97239-6103 | 2015-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748243 | Jessica M Feinsmith | Counselor | 6530 N Williams Ave, Portland, OR 97217-1924 | 2020-10-21 |
| 1720687809 | Karissa Myriah Gregory | Counselor | 14255 Se Rupert Dr, Portland, OR 97267-1211 | 2020-10-20 |
| 1528667904 | Zuzana Sakova | Counselor | 819 Se Morrison St Ste 225, Portland, OR 97214-6311 | 2020-10-18 |
| 1891302238 | Nina Landey | Counselor | 120 Se 53rd Ave, Portland, OR 97215-1204 | 2020-09-29 |
| 1902412166 | Peter H Addy LLC | Counselor | 524 N Tillamook St Ste 102b, Portland, OR 97227-1993 | 2020-09-22 |
| 1326654765 | Naomi Painter | Counselor | 1925 Ne 19th Ave Apt 8a, Portland, OR 97212-4526 | 2020-09-21 |
| 1750996104 | Sara Fuller | Counselor | 3016 Ne 70th Ave, Portland, OR 97213-5802 | 2020-09-12 |
| 1114532983 | Matthew W Cronin | Counselor | 1122 Ne 122nd Ave Ste 200, Portland, OR 97230-2081 | 2020-09-09 |
| 1447865381 | Luke Colbourn | Counselor | 2705 E Burnside St Ste 206, Portland, OR 97214-1768 | 2020-09-08 |
| 1710599774 | Abigail Kathryn Ernst | Counselor | 1020 Sw Taylor St # 100, Portland, OR 97205-2543 | 2020-08-20 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.