Organization
DAVID E BILSTROM MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID E BILSTROM MD (PRESIDENT)
(503) 245-8060
Entity
Organization
Contact information
Practice address
9370 SW GREENBURG RD, 311, PORTLAND, OR 97223-5442
(503) 245-8060
(503) 245-8104
Mailing address
9370 SW GREENBURG RD, 311, 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
05
—
017343
—
OR
Enumeration date
04/02/2008
Last updated
04/02/2008
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