MEDICARE: MR. CHARLES MARTIN BULLARD LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	102L00000X	Psychoanalyst	020704-LW00006183	WA

General Provider Information

NPI Number	:	1174736334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHARLES MARTIN BULLARD LICSW

Provider Business Mailing Address
First Line	:	2206 QUEEN ANNE AVE N
Second Line	:	#203
City	:	SEATTLE
State	:	WA
Zip	:	98109-2370
Country	:	US
Telephone Number	:	206-283-4360
Fax Number	:

Provider Business Practice Location Address
First Line	:	2206 QUEEN ANNE AVE N
Second Line	:	#203
City	:	SEATTLE
State	:	WA
Zip	:	98109-2370
Country	:	US
Telephone Number	:	206-283-4360
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1851392674 — DR. SAMUEL TONG D.C.
Practice Location Address:

2206 QUEEN ANNE AVE N , #201
SEATTLE, WA
98109-2370

Practice Phone: 206-378-5755
Practice Fax: 206-219-0556

1942372578 — DR. AMY M FASIG N.D.
Practice Location Address:

2206 QUEEN ANNE AVE N APT 204
SEATTLE, WA
98109-2370

Practice Phone: 206-599-6030
Practice Fax: 206-599-6031

1376729608 — MRS. CALEY BROOK PHILIPPS B.A., M.S. LMFT
Practice Location Address:

2206 QUEEN ANNE AVE N , SUITE 303
SEATTLE, WA
98109-2370

Practice Phone: 206-420-9895
Practice Fax:

1144468000 — ZIRAN CHINESE MEDICINE
Practice Location Address:

2206 QUEEN ANNE AVE N , # 202
SEATTLE, WA
98109-2370

Practice Phone: 206-854-4376
Practice Fax: 206-219-0556

1629205778 — TONGSINGYIU, LLC
Practice Location Address:

2206 QUEEN ANNE AVE N , SUITE 201
SEATTLE, WA
98109-2370

Practice Phone: 206-378-5755
Practice Fax: 206-219-0556

1548499734 — MICHELLE NEVILLE L.M.P.
Practice Location Address:

2206 QUEEN ANNE AVE N , SUITE 202
SEATTLE, WA
98109-2370

Practice Phone: 206-378-5755
Practice Fax: 206-219-0556

Directions to “ MR. CHARLES MARTIN BULLARD LICSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.