Individual
DR. BRUCE NEAL HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19875 SW 65TH AVE, SUITE 100, TUALATIN, OR 97062-8353
(503) 692-7785
(503) 885-9882
Mailing address
19875 SW 65TH AVE, SUITE 100, TUALATIN, OR 97062-8353
(503) 692-7785
(503) 885-9882
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19222
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073291
—
OR
05
—
8289571
—
WA
Enumeration date
03/16/2006
Last updated
08/15/2007
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