Individual
DR. ERIC DE BRUYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10300 NORTHEAST HANCOCK STREET, PORTLAND, OR 97220
(503) 257-5500
Mailing address
7135 SE TIBBETTS ST, PORTLAND, OR 97206
(443) 299-7224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6326
OR
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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