Individual
BRUCE WILSON DANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5050 NE HOYT ST, STE 256, PORTLAND, OR 97213-2982
(503) 239-7767
(503) 215-6897
Mailing address
5050 NE HOYT ST, STE 256, PORTLAND, OR 97213-2982
(503) 239-7767
(503) 215-6897
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MD10331
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013209
—
WA
05
—
229120
—
OR
Enumeration date
05/23/2005
Last updated
12/22/2011
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