Holmes, Bruce Neal

Holmes, Bruce Neal is an individual health care provider with primary practice located at 19875 Sw 65Th Ave Suite 100, Tualatin OR 97062-8353. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Holmes, Bruce Neal can be contacted via phone (503) 692-7785.

Contact Information

Primary practice address
19875 Sw 65Th Ave Suite 100 Tualatin OR 97062-8353
Phone: (503) 692-7785
Fax: (503) 885-9882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19222 Oregon

Profile Details

NPI number 1790754273
LBN Legal business name Holmes, Bruce Neal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Aug 15th, 2007 - 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 1790754273 NPPES
Washington MEDICAID 8289571
Washington MEDICAID 073291

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