Leewiwatanakul, Bruce

Leewiwatanakul, Bruce is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd. Ohsu, Portland OR 97239. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Leewiwatanakul, Bruce can be contacted via phone (503) 494-8211.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd. Ohsu Portland OR 97239
Phone: (503) 494-8211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X OS021227 Pennsylvania
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X OS021227 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X DO197940 Oregon
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X DO219810 Oregon
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X DO219810 Oregon
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1821521279
LBN Legal business name Leewiwatanakul, Bruce
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2017
Last updated Nov 10th, 2025 - about last year

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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