Bruce Alan Boston
MD | Pediatric Endocrinology | Male
Bruce Alan Boston, MD is a Portland, Oregon based Pediatric doctor with medical specialization in
Pediatric Endocrinology.
Current practice location of Bruce Alan Boston is
3181 Sw Sam Jackson Park Rd, Portland, Oregon - 97239-3011. He can be contacted on phone at
503-494-1926.
Bruce Alan Boston is a sole proprietor of his business.
NPI number (Unique professional ID) for Bruce Alan Boston is
1003821505 which was assigned by NPPES on 31 Jul, 2006 and it was last updated on 13 Aug, 2007.
Bruce Alan Boston license number is
MD16035 for Pediatrics Pediatric Endocrinology (2080P0205X) in Oregon.
Bruce Alan Boston 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 size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Complete Profile:
Bruce Alan Boston basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Endocrinology |
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| Provider Name : | Bruce Alan Boston |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Bruce Alan Boston address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3181 Sw Sam Jackson Park Rd
Portland, OR, 97239-3011
United States |
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| Phone Number : | 503-494-1926 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1003821505 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 31 Jul, 2006 |
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| Last Updated On : | 13 Aug, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bruce Alan Boston are as mentioned. Primary taxonomy code for Bruce Alan Boston, MD is
2080P0205X (Pediatrics Pediatric Endocrinology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0205X | Pediatrics Pediatric Endocrinology | Yes | MD16035 | OR |
Legacy Identifiers:
Other legacy medical identifiers of Bruce Alan Boston such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 072582 | MEDICAID | OR | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3181 Sw Sam Jackson Park Rd
Portland, OR, 97239-3011
United States |
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Business Location:
Patients can refer following map for directions to
Bruce Alan Boston practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.