Bruss, Reginald D.

Bruss, Reginald D. is an individual health care provider with primary practice located at 120 Nw 14Th Ave Suite 300, Portland OR 97209-2601. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Bruss, Reginald D. can be contacted via phone (503) 299-9906.

Contact Information

Primary practice address
120 Nw 14Th Ave Suite 300 Portland OR 97209-2601
Phone: (503) 299-9906
Fax: (503) 225-9002
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD10366 Oregon
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD10366 Oregon

Profile Details

NPI number 1114991338
LBN Legal business name Bruss, Reginald D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114991338 NPPES
Oregon MEDICAID 172593

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