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Individual

REGINALD D. BRUSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
120 NW 14TH AVE, SUITE 300, PORTLAND, OR 97209-2601
(503) 299-9906
(503) 225-9002
Mailing address
120 NW 14TH AVE, SUITE 300, PORTLAND, OR 97209-2601
(503) 299-9906
(503) 225-9002

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD10366
OR
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD10366
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
172593
OR
Enumeration date
02/14/2006
Last updated
07/13/2026
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