Webber, Bruce Randolph

Webber, Bruce Randolph is an individual health care provider with primary practice located at 9155 Sw Barnes Rd Ste 532, Portland OR 97225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Webber, Bruce Randolph can be contacted via phone (503) 488-2344.

Contact Information

Primary practice address
9155 Sw Barnes Rd Ste 532 Portland OR 97225
Phone: (503) 488-2344
Fax: (503) 488-2360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD 12636 Oregon

Profile Details

NPI number 1780661371
LBN Legal business name Webber, Bruce Randolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Sep 25th, 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 1780661371 NPPES
Oregon MEDICAID 154906

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