ETHAN BULISCO
NPI 1073355798
Peer Specialist in Portland, OR
About Ethan Bulisco NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN BULISCO (NPI 1073355798) is an individual peer specialist in Portland, Oregon and active in the NPI registry since June 2024.
NPPES Registry Identity
Specialties & Licenses
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073355798, enumerated as an "individual" on June 12, 2024.
The provider is located at 5331 S MACADAM AVE STE 287 PORTLAND, OR 97239 and the phone number is (503) 635-3416.
Peer Specialist with taxonomy code 175T00000X.