Bilstrom, David E

Bilstrom, David E is an sole proprietor health care provider with primary practice located at 9370 Sw Greenburg Rd Suite A, Portland OR 97223-5442. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bilstrom, David E can be contacted via phone (503) 245-8060.

Contact Information

Primary practice address
9370 Sw Greenburg Rd Suite A Portland OR 97223-5442
Phone: (503) 245-8060
Fax: (503) 245-8104
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD10617 Oregon

Profile Details

NPI number 1790766764
LBN Legal business name Bilstrom, David E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2005
Last updated Apr 16th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790766764 NPPES
Oregon Other 004545000 REGENCE BX OF OREGON
Oregon MEDICAID 01-7343 REGENCE BX OF OREGON
Oregon Other 030000141 REGENCE BX OF OREGON
Oregon Other 0000BHHMP REGENCE BX OF OREGON

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