Individual
JAMES BRUCE EUBANKS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2800 SW 257TH AVE, TROUTDALE, OR 97060-1803
(503) 667-7711
(503) 669-8328
Mailing address
2800 SW 257TH AVE, TROUTDALE, OR 97060-1803
(503) 667-7711
(503) 669-8328
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO16596
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031067
—
OR
Enumeration date
08/19/2006
Last updated
10/01/2013
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