Individual
DR. BRUCE F COLWELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3895 SW 185TH AVE, #170, ALOHA, OR 97007-1573
(503) 649-6497
(503) 649-2985
Mailing address
3895 SW 185TH AVE, #170, ALOHA, OR 97007-1573
(503) 649-6497
(503) 649-2985
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
OR 6682
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6682
OR LICENSE
OR
Enumeration date
07/27/2005
Last updated
07/08/2007
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