{"npi":"1386904662","type":"NPI-1","status":"active","name":{"display":"Samuel Bullick D.O.","other":[],"first":"SAMUEL","last":"BULLICK","middle":"WILLIAM","credential":"D.O."},"specialty":{"primary_taxonomy":"207RP1001X","primary_taxonomy_description":"Pulmonary Disease Physician","slug":"pulmonary-disease-physician","schema_org_specialty":null,"all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"OR","license":"LL158520"},{"code":"207RP1001X","description":"Pulmonary Disease Physician","primary":true,"state":"OR","license":"DO188659"}]},"addresses":[{"purpose":"LOCATION","street_1":"1015 NW 22ND AVE","city":"PORTLAND","state":"OR","postal_code":"972103025","country_code":"US","phone":"5034138407","fax":"5034136951"},{"purpose":"MAILING","street_1":"PO BOX 3777","city":"PORTLAND","state":"OR","postal_code":"972083777","country_code":"US","phone":"5034133900","fax":"5034133710"}],"license":{"state":"OR","number":"DO188659"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20181022002155","type_code":"14-29","type_desc":"PRACTITIONER - PULMONARY DISEASE","state":"OR","pac_id":"2860633286"}]},"enumeration_date":"2012-05-21","last_updated":"2018-09-05","_meta":{"source":"NPPES","snapshot_date":"2018-09-05","doc_url":"https://findmynpi.com/api"}}