Individual
DR. BRUCE RANDOLPH WEBBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9155 SW BARNES RD, STE 532, PORTLAND, OR 97225
(503) 488-2344
(503) 488-2360
Mailing address
847 NE 19TH AVE, SUITE 300, PORTLAND, OR 97232-2684
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD 12636
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154906
—
OR
Enumeration date
12/27/2005
Last updated
09/25/2013
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