Individual
DR. RYAN CHRISTOPHER BULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D., M.S.
Contact information
Practice address
2744 SE 28TH PL, PORTLAND, OR 97202-1323
(315) 730-8742
Mailing address
2744 SE 28TH PL, PORTLAND, OR 97202-1323
(315) 730-8742
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3314AT
OR
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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