BRUCE FERNSTROM

PORTLAND, OR
NPI1255329967
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant Surgical
(Licence: OR  PA00805)
Enumeration Date2005-10-07
Last Update Date2023-12-05
Business Address
BRUCE FERNSTROM PA
10000 SE MAIN ST SUITE 342
PORTLAND, OR 97216-2448
Phone number: 503-255-5524
Mailing Address
BRUCE FERNSTROM PA
541 NE 20TH AVE STE 225
PORTLAND, OR 97232-2895
Phone number: 503-963-2801
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