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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558364570 NPPES
Washington MEDICAID 1013209
Washington MEDICAID 229120

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