BRUCE LEEWIWATANAKUL

PORTLAND, OR
NPI1821521279
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: OR  DO219810)
Additional Taxonomies208000000X Pediatrics
(Licence: OR  DO197940)
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: PA  OS021227)
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: PA  OS021227)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-04-04
Last Update Date2024-08-15
Business Address
Dr. BRUCE LEEWIWATANAKUL D.O.
3181 SW SAM JACKSON PARK RD. OHSU
PORTLAND, OR 97239
Phone number: 503-494-8211
Mailing Address
Dr. BRUCE LEEWIWATANAKUL D.O.
1400 SW 5TH AVE STE 500
PORTLAND, OR 97201-5537
Phone number: 866-617-6855