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1134158561
BRUCE C DOUGLAS
PORTLAND, OR
NPI
1134158561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD14055)
Enumeration Date
2006-06-30
Last Update Date
2007-07-08
Business Address
Dr. BRUCE C DOUGLAS M.D.
10803 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216-3107
Phone number: 503-261-7200
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Mailing Address
Dr. BRUCE C DOUGLAS M.D.
10803 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216-3107
Phone number: 503-261-7200
Copy
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