Individual
ANDREA PATRICIA BULAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1025 2ND ST NW, SALEM, OR 97304-4001
(503) 371-0779
(503) 371-0886
Mailing address
1025 2ND ST NW, SALEM, OR 97304-4001
(503) 371-0779
(503) 371-0886
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6049
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6049
LICENSE
OR
Enumeration date
08/20/2009
Last updated
07/16/2024
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