Individual
BRYCE GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10260 SW GREENBURG RD STE 400, PORTLAND, OR 97223-5514
(503) 298-5096
Mailing address
5231 SE BYBEE BLVD, PORTLAND, OR 97206-8212
(307) 399-6009
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OR
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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