Stephen S Bullock, LMT is a massage therapist in Portland, OR. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Stephen S Bullock, LMT NPI is 1164061016. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1720 SW 4TH AVE APT 313
PORTLAND, OR
ZIP 97201-531
Phone: (443) 562-9635
The enumeration date for this NPI number is 12/24/2019 and was last updated on 12/24/2019.