Most Relevant Information
Provider Data
| NPI Number: | 1003821505 |
| Provider Name: | BRUCE ALAN BOSTON MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2080P0205X |
| Specialty: | Pediatrics |
| License Number: | MD16035 |
Most Important Dates
| Enumeration Date: | 07/31/2006 |
| Last Updated: | 08/13/2007 |
Provider Practice Location
3181 SW SAM JACKSON PARK RD
PORTLAND
OR
972393011
Practice Location Phone/Fax
| Phone: | 5034941926 |
| Fax: |
Provider Mailing Location
3181 SW SAM JACKSON PARK RD
PORTLAND
OR
972393011
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |