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:
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Health care specialties

SpecialtyCodeLicense #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 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346201886 NPPES
Oregon MEDICAID 020193
Oregon Other 300365203
Oregon Other 810438003

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