Geryk, Bruce Robert

Geryk, Bruce Robert is an individual health care provider with primary practice located at 9135 Sw Barnes Rd Ste 461 , Portland OR 97225-6643. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurocritical Care, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurocritical Care is his primary health care specialty. Geryk, Bruce Robert can be contacted via phone (503) 216-1150.

Contact Information

Primary practice address
9135 Sw Barnes Rd Ste 461 Portland OR 97225-6643
Phone: (503) 216-1150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurocritical Care 2084A2900X MD190871 Oregon
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD190871 Oregon

Profile Details

NPI number 1275794802
LBN Legal business name Geryk, Bruce Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2008
Last updated Nov 25th, 2022 - about 2 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 1275794802 NPPES
Oregon MEDICAID 500743526

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