BRUCE FERNSTROM, PA-C
Physician Assistant - Surgical
Active
Individual
NPI: 1255329967
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | No | PA00805 (OR) |
| Physician Assistant - Surgical | 363AS0400X | Yes | PA00805 (OR) |
Frequently Asked Questions
NPI 1255329967 is the National Provider Identifier for BRUCE FERNSTROM, PA-C, a Physician Assistant - Surgical provider located in Portland, OR. This NPI was enumerated on October 7, 2005.
BRUCE FERNSTROM, PA-C practices at 501 N GRAHAM ST STE 420, Portland, OR 97227.
Quick Facts
- NPI
- 1255329967
- Type
- Individual
- Enumerated
- Oct 7, 2005
- Last Updated
- Jul 28, 2025
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