ALISHIA MAE BULLIS
NPI 1790591675
Peer Specialist in Coos Bay, OR

Active since December 05, 2024
2020 THOMPSON RD, COOS BAY, OR 97420(541) 267-3511 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alishia Mae Bullis NPPES

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

ALISHIA MAE BULLIS (NPI 1790591675) is an individual peer specialist in Coos Bay, Oregon, licensed in Oregon (112737) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1790591675
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameALISHIA MAE BULLIS
Location Address2020 THOMPSON RDCoos Bay, OR 97420-2041
Mailing Address1750 Nebraska Ave Bldg AGrants Pass, OR 97527-5700 · (541) 956-4943
Sole ProprietorNo
Enumeration DateDecember 5, 2024
NPPES CertifiedDecember 5, 2024
NPI 1790591675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in OR · 112737
Definition
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.
2020 THOMPSON RD, Coos Bay, OR 97420

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
2020 THOMPSON RD
COOS BAY, OR 97420
Peer Specialist
2020 THOMPSON RD
COOS BAY, OR 97420
Counselor (Mental Health)
2020 THOMPSON RD
COOS BAY, OR 97420
Counselor (Mental Health)
2020 THOMPSON RD
COOS BAY, OR 97420
Counselor (Mental Health)
2020 THOMPSON RD
COOS BAY, OR 97420
Counselor
2020 THOMPSON RD
COOS BAY, OR 97420
Counselor (Mental Health)
2020 THOMPSON RD
COOS BAY, OR 97420
Counselor (Mental Health)
2020 THOMPSON RD
COOS BAY, OR 97420

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 Alishia Bullis's NPI number?

The NPI number for Alishia Bullis is 1790591675. It was assigned to this individual provider in the NPPES registry on December 5, 2024.

Where is Alishia Bullis located?

Alishia Bullis practices at 2020 Thompson Rd, Coos Bay, OR 97420. The listed phone number is (541) 267-3511.

What is Alishia Bullis's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Alishia Bullis was last updated on December 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.