Ham, Lyle Bruce

Ham, Lyle Bruce is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Mc L611, Portland OR 97239-3011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Ham, Lyle Bruce can be contacted via phone (503) 494-5300.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Mc L611 Portland OR 97239-3011
Phone: (503) 494-5300
Fax: (503) 494-6519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD10089 Oregon
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X MD10089 Oregon

Profile Details

NPI number 1669555751
LBN Legal business name Ham, Lyle Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Jan 19th, 2011 - about 14 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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