Bolton, Bruce K.

Bolton, Bruce K. is an individual health care provider with primary practice located at 707 Sw Washington St Suite 700, Portland OR 97205-3536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bolton, Bruce K. can be contacted via phone (503) 299-9906.

Contact Information

Primary practice address
707 Sw Washington St Suite 700 Portland OR 97205-3536
Phone: (503) 299-9906
Fax: (503) 225-9002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD16088 Oregon

Profile Details

NPI number 1053385260
LBN Legal business name Bolton, Bruce K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Oct 10th, 2018 - about 6 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 1053385260 NPPES
Washington MEDICAID 8137879
Washington Other 050051727
Washington MEDICAID 041207

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