Bruce Alan Boston in Portland - Pediatric Endocrinology

Bruce Alan Boston - NPI 1003821505

Bruce Alan Boston is a Pediatric Endocrinology in Portland, Oregon. Bruce Alan Boston practices all healthcare services and medical treatments related to Pediatric Endocrinology. The NPI Number for Bruce Alan Boston is 1003821505. The last update date is 2007-08-13.

Bruce Alan Boston's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034941926. The mailing address for Bruce Alan Boston is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Bruce Alan Boston
Address 3181 Sw Sam Jackson Park Rd, Portland, Oregon
Phone Number 5034941926
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1003821505
Provider Enumeration Date 2006-07-31
Last Updated Date 2007-08-13

Provider Mailing Address Detail

Address 3181 Sw Sam Jackson Park Rd
City Portland
State Oregon (OR)
Post Code 972393011
Phone Number 5034941926
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Endocrinology
Taxonomy 2080P0205X
Licence No MD16035
Definition:
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
72582 OR --

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FAQs about Bruce Alan Boston

What is the unique 10-digit identifier code issued to Bruce Alan Boston by the Centers for Medicare & Medicaid Services?

The Bruce Alan Boston has been assigned the NPI (National Provider Identifier) 1003821505 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Bruce Alan Boston's physical address?

The Bruce Alan Boston is physically located at 3181 Sw Sam Jackson Park Rd, in the city of Portland, OR, with the postal code 972393011.

What is Bruce Alan Boston's specialized field of practice, and what is the corresponding taxonomy classification code?

The Bruce Alan Boston's area of specialization is Pediatric Endocrinology, and the corresponding taxonomy code that categorizes this field of practice is 2080P0205X.

When did Bruce Alan Boston receive its 1003821505 assignment?

The Bruce Alan Boston was assigned its 1003821505 on 2006-07-31, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Bruce Alan Boston most recently updated or revised?

The information pertaining to Bruce Alan Boston, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-13.

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