LYLE BRUCE HAM

PORTLAND, OR
NPI1669555751
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: OR  MD10089)
Additional Taxonomies2086S0102X Surgery, Surgical Critical Care
(Licence: OR  MD10089)
Enumeration Date2006-10-23
Last Update Date2011-01-19
Business Address
LYLE BRUCE HAM MD
3181 SW SAM JACKSON PARK RD MC L611
PORTLAND, OR 97239-3011
Phone number: 503-494-5300
Mailing Address
LYLE BRUCE HAM MD
3181 SW SAM JACKSON PARK RD MC L611
PORTLAND, OR 97239-3011
Phone number: 503-494-5300