Blank, Bruce Henry
Blank, Bruce Henry is an sole proprietor health care provider with primary practice located at 164 Nw Macleay Blvd , Portland OR 97210-3323. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Blank, Bruce Henry can be contacted via phone (503) 228-1253.Contact Information
Primary practice address
164 Nw Macleay Blvd
Portland OR 97210-3323
Phone: (503) 228-1253
Fax: (503) 228-1797
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD09769 | Oregon |
Profile Details
| NPI number | 1992809966 |
|---|---|
| LBN Legal business name | Blank, Bruce Henry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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