Pamela L Bullock, MD is a
Internal Medicine physician based in Gladstone, Oregon. Pamela L Bullock is licensed to practice in Oregon (license number MD20741) and her current practice location is 1105 Portland Ave, Suite 2, Gladstone, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 655-2404.
NPI number for Pamela L Bullock is 1972686160 and her current mailing address is 1105 Portland Ave, Suite 2, Gladstone, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972686160.
Physician's Profile
| Full Name | Pamela L Bullock |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 1105 Portland Ave, Gladstone, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1972686160
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 12/27/2012
Medical Identifiers
Medical identifiers for Pamela L Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972686160 | NPI | - | NPPES |
| 105791 | Medicaid | OR | |
| P00691899 | Other | | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | MD20741 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pamela L Bullock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Pamela L Bullock, MD
1105 Portland Ave, Suite 2,
Gladstone, OR 97027-2170
Ph: (503) 655-2404 | Pamela L Bullock, MD
1105 Portland Ave, Suite 2,
Gladstone, OR 97027-2170
Ph: (503) 655-2404 |
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