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Individual

DR. JEFFREY DAVID BULKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2065 NE TUCSON WAY APT 110, BEND, OR 97701-5182
(541) 383-3005
(541) 383-1883
Mailing address
PO BOX 4228, PORTLAND, OR 97208-4228
(541) 383-3005
(541) 383-1883

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO188574
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500744848
OR
Enumeration date
04/14/2015
Last updated
09/25/2024
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