Webber, Bruce Randolph
Webber, Bruce Randolph is an individual health care provider with primary practice located at 9155 Sw Barnes Rd Ste 532, Portland OR 97225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Webber, Bruce Randolph can be contacted via phone (503) 488-2344.Contact Information
Primary practice address
9155 Sw Barnes Rd Ste 532
Portland OR 97225
Phone: (503) 488-2344
Fax: (503) 488-2360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | MD 12636 | Oregon |
Profile Details
| NPI number | 1780661371 |
|---|---|
| LBN Legal business name | Webber, Bruce Randolph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Sep 25th, 2013 - about 11 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 | 1780661371 | NPPES |
| Oregon | MEDICAID | 154906 |
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