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STEPHEN S BULLOCK LMT
NPI 1164061016
Massage Therapist in Portland, OR

Active since December 24, 2019
1720 SW 4TH AVE APT 313, PORTLAND, OR 97201(443) 562-9635 Get Directions Write a Review

NPPES record last updated: December 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephen S Bullock Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN S BULLOCK LMT (NPI 1164061016) is an individual massage therapist in Portland, Oregon, licensed in Oregon (25530) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1164061016
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameSTEPHEN S BULLOCKCredential: LMT
Location Address1720 SW 4TH AVE APT 313Portland, OR 97201-5531
Mailing Address1720 Sw 4th Ave Apt 313Portland, OR 97201-5531 · (443) 562-9635
Phone(443) 562-9635
Sole ProprietorYes
Enumeration DateDecember 24, 2019
✔ NPI 1164061016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in OR · 25530
Definition
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.
1720 SW 4TH AVE APT 313, Portland, OR 97201
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Bullock's NPI number?

The NPI number for Stephen Bullock is 1164061016. It was assigned to this individual provider in the NPPES registry on December 24, 2019.

Where is Stephen Bullock located?

Stephen Bullock practices at 1720 SW 4th Ave Apt 313, Portland, OR 97201. The listed phone number is (443) 562-9635.

What is Stephen Bullock's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Stephen Bullock was last updated on December 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.