Individual
REGINALD D. BRUSS
Active
Sole proprietor
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
09/11/2025
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