Individual
DR. BERNARD JEFFREY PULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
301 CHERRY HEIGHTS RD, THE DALLES, OR 97058-3586
(541) 296-1101
(541) 298-1538
Mailing address
2025 CASCADE AVE, STE 101, HOOD RIVER, OR 97031-1272
(541) 386-2402
(541) 308-0293
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AT3526
OR
152WC0802X
Corneal and Contact Management Optometrist
AT3526
OR
152WP0200X
Pediatric Optometrist
AT3526
OR
152WS0006X
Sports Vision Optometrist
AT3526
OR
152WX0102X
Occupational Vision Optometrist
AT3526
OR
156FX1800X
Optician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689653354
—
OR
05
—
4351130
—
MI
Enumeration date
01/11/2006
Last updated
07/13/2021
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