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Individual

C. BRUCE SCHWARTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
551 LONE PINE BLVD, THE DALLES, OR 97058
(541) 506-6500
(541) 296-6431
Mailing address
PO BOX 1520, THE DALLES, OR 97058
(541) 296-7668
(541) 296-6431

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
3570
AK
207X00000X
Orthopaedic Surgery Physician
Primary
MD08596
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
146162
WASHING L&I
WA
01
200027807
MEDICARE RAILROAD
05
292179
OR
05
MD2341
AK
Enumeration date
06/30/2006
Last updated
09/15/2011
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