Individual
BRUCE K LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T
Contact information
Practice address
965 ELLENDALE DR, MEDFORD, OR 97504
(541) 734-3450
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-3450
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06711
OR
Other
Enumeration date
12/23/2014
Last updated
02/02/2026
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