What is Ethan Bulisco's NPI number?

Ethan Bulisco's National Provider Identifier (NPI) is 1073355798, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ethan Bulisco's specialty?

Ethan Bulisco is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).

Where is Ethan Bulisco located?

Ethan Bulisco's practice location on file with NPPES is 5331 S Macadam Ave Ste 287, Portland, OR 97239-3849.

What is Ethan Bulisco's phone number?

The practice phone number listed in the NPPES registry for Ethan Bulisco is (503) 635-3416.

Is Ethan Bulisco's NPI active?

Yes — Ethan Bulisco's NPI (1073355798) is active in the NPPES registry as of the last update on 2024-06-12.

IndividualActive

Ethan Bulisco

NPI 1073355798 · Peer Specialist · Portland, OR

Ethan Bulisco is a Peer Specialist provider in Portland, OR (NPI 1073355798).

Provider details

NPI number: 1073355798
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Peer SpecialistPrimary175T00000X
Other Service Providers

Profile Score

Established profile(50/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

5331 S Macadam Ave Ste 287

Portland, OR 97239-3849

Phone: (503) 635-3416

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address