Individual
DAVID E BILSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9370 SW GREENBURG RD, SUITE A, PORTLAND, OR 97223-5442
(503) 245-8060
(503) 245-8104
Mailing address
9370 SW GREENBURG RD, SUITE A, PORTLAND, OR 97223-5442
(503) 245-8060
(503) 245-8104
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD10617
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000BHHMP
MEDICARE NUMBER
OR
01
—
004545000
REGENCE BX OF OREGON
OR
05
—
01-7343
—
OR
01
—
030000141
RAILROAD MEDICARE
OR
Enumeration date
11/08/2005
Last updated
04/16/2013
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