Individual
DR. BRUCE BOHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 HICKORY ST NW STE 303, ALBANY, OR 97321-1700
(541) 812-5275
(541) 812-5276
Mailing address
400 HICKORY ST NW STE 303, ALBANY, OR 97321-1700
(541) 812-5275
(541) 812-5276
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD11218
OR
207Q00000X
Family Medicine Physician
Primary
MD11218
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010051611
RAILROAD MEDICARE
—
01
—
0189507
WASHINGTON LABOR & INDUST
—
01
—
059297000
BC/BS OF OREGON
OR
05
—
268748
—
OR
05
—
8351769
—
WA
01
—
C94267
GROUP HEALTH
—
01
—
JT4011
PACC
—
01
—
XPY185424
MEDI CAL
—
Enumeration date
04/07/2006
Last updated
03/11/2013
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