Breckenridge, Bruce Franklin
Breckenridge, Bruce Franklin is an individual health care provider with primary practice located at 13140 Ne Halsey St , Portland OR 97230-2350. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Breckenridge, Bruce Franklin can be contacted via phone (503) 253-7278.Contact Information
Primary practice address
13140 Ne Halsey St
Portland OR 97230-2350
Phone: (503) 253-7278
Fax: (503) 253-0279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2070T | Oregon |
Profile Details
| NPI number | 1346201886 |
|---|---|
| LBN Legal business name | Breckenridge, Bruce Franklin |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | May 29th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346201886 | NPPES |
| Oregon | MEDICAID | 020193 | |
| Oregon | Other | 300365203 | |
| Oregon | Other | 810438003 |
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