Eubanks, James Bruce

Eubanks, James Bruce is an individual health care provider with primary practice located at 2800 Sw 257Th Ave , Troutdale OR 97060-1803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Eubanks, James Bruce can be contacted via phone (503) 667-7711.

Contact Information

Primary practice address
2800 Sw 257Th Ave Troutdale OR 97060-1803
Phone: (503) 667-7711
Fax: (503) 669-8328
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO16596 Oregon

Profile Details

NPI number 1174637607
LBN Legal business name Eubanks, James Bruce
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Oct 1st, 2013 - about 13 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 1174637607 NPPES
Oregon MEDICAID 031067

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