Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stephen S Bullock, LMT

Individual provider Massage Therapist · NPI 1164061016

Stephen S Bullock, LMT is a Massage Therapist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2019
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

1720 SW 4th Ave Apt 313
Portland, OR 97201-5531
Phone: (443) 562-9635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 25530 (OR)

Record details

NPI number1164061016
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedDecember 24, 2019
Last updated in NPPESDecember 24, 2019
Certification dateDecember 24, 2019

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