Individual
MELISSA BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
9670 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3307
(971) 229-4009
Mailing address
9670 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3307
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3872
OR
Other
Enumeration date
09/25/2014
Last updated
11/29/2025
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