Dana, Bruce Wilson
Dana, Bruce Wilson is an individual health care provider with primary practice located at 5050 Ne Hoyt St Ste 256, Portland OR 97213-2982. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Dana, Bruce Wilson can be contacted via phone (503) 239-7767.Contact Information
Primary practice address
5050 Ne Hoyt St Ste 256
Portland OR 97213-2982
Phone: (503) 239-7767
Fax: (503) 215-6897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | MD10331 | Oregon |
Profile Details
| NPI number | 1558364570 |
|---|---|
| LBN Legal business name | Dana, Bruce Wilson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Dec 22nd, 2011 - about 13 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 | 1558364570 | NPPES |
| Washington | MEDICAID | 1013209 | |
| Washington | MEDICAID | 229120 |
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