Bruce K Bolton (NPI# 1053385260, PAC ID# 3870785587) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1053385260 |
| PAC ID by PECOS | 3870785587 |
| Professional Enrollment ID | I20101012001254 |
| Full Name | Bruce K Bolton |
| Organization Legal Name | OREGON ANESTHESIOLOGY GROUP PC |
| Address |
4805 Ne Glisan St Portland OR 97213-2933 |
| Phone Number | 5032999906 |
| Gender | M |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 3476451659 |
| Number of Group Practice Members | 279 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4805 Ne Glisan St, Portland, OR 97213-2933 | 5032999906 | OREGON ANESTHESIOLOGY GROUP PC |
| Organization Legal Name | OREGON ANESTHESIOLOGY GROUP PC |
| Physicians | 301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy L Hansen | Anesthesiology | Oregon Anesthesiology Group PC | 1460 G St, Springfield, OR 97477-4112 |
| Frank E Palmrose | Anesthesiology | Oregon Anesthesiology Group PC | 707 Sw Washington St, Suite 700, Portland, OR 97205-3523 |
| Jaroslav P Strba | Anesthesiology | Oregon Anesthesiology Group PC | 9205 Sw Barnes Rd, Portland, OR 97225-6603 |
| Richard D Dulude | Anesthesiology | Oregon Anesthesiology Group PC | 665 Winter Se St, Salem, OR 97301-3959 |
| Daniel B Herr | Anesthesiology | Oregon Anesthesiology Group PC | 6370 Sw Borland Rd, Suite 100, Tualatin, OR 97062-9768 |
| Jeffrey P Mako | Anesthesiology | Oregon Anesthesiology Group PC | 707 Sw Washington St, Suite 700, Portland, OR 97205-3523 |
| Justin Ramos | Anesthesiology | Oregon Anesthesiology Group PC | 707 Sw Washington St, Suite 700, Portland, OR 97205-3523 |
| Patricia N Pancoast | Anesthesiology | Oregon Anesthesiology Group PC | 707 Sw Washington St, Suite 700, Portland, OR 97205-3523 |
| Xianghua Pan | Anesthesiology | Oregon Anesthesiology Group PC | 707 Sw Washington St, Suite 700, Portland, OR 97205-3523 |
| Kevin J Tarrant | Anesthesiology | Oregon Anesthesiology Group PC | 707 Sw Washington St, Suite 700, Portland, OR 97205-3523 |
| Street Address |
4805 NE GLISAN ST |
| City | PORTLAND |
| State | OR |
| Zip | 97213-2933 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Salona Shrestha | Internal Medicine | Providence Health and Services Oregon | 4805 Ne Glisan St, Suite Bg05, Portland, OR 97213-2933 |
| Gita D Gelfer | Hospitalist | Providence Health and Services Oregon | 4805 Ne Glisan St, Suite Bg05, Portland, OR 97213-2933 |
| Karissa Lynn Schwartz | Qualified Speech Language Pathologist | Providence Health and Services Oregon | 4805 Ne Glisan St, Suite 6n50, Portland, OR 97213-2933 |
| Rhezarie Mae A Agtarap | Nurse Practitioner | Providence Health and Services Oregon | 4805 Ne Glisan St, Suite Bg05, Portland, OR 97213-2933 |
| Ivan I Biley | Internal Medicine | Providence Health and Services Oregon | 4805 Ne Glisan St, Suite Bg05, Portland, OR 97213-2933 |
| Becky L Bowler | Nurse Practitioner | Providence Health and Services Oregon | 4805 Ne Glisan St, Portland, OR 97213-2933 |
| Hoda A Ilias | Hospitalist | Providence Health and Services Oregon | 4805 Ne Glisan St, Suite Bg05, Portland, OR 97213-2933 |
| Janice A Tsuchida | Nurse Practitioner | Providence Health and Services Oregon | 4805 Ne Glisan St, Portland, OR 97213-2933 |
| Cornelia C Taylor | Hospitalist | Providence Health and Services Oregon | 4805 Ne Glisan St, Suite Bg05, Portland, OR 97213-2933 |
| Michelle R Fliman | Anesthesiology | Oregon Anesthesiology Group PC | 4805 Ne Glisan St, Portland, OR 97213-2933 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John R Lewis | Optometry | Beaumont Vision, PC | 4331 Ne Fremont St, Portland, OR 97213-1151 |
| David M Klipper | Diagnostic Radiology | Kern Radiology Medical Group Inc | 4231 Ne Siskiyou St, Portland, OR 97213-1161 |
| Evonne N Serpa | Qualified Audiologist | 4311 Ne Tillamook St, Portland, OR 97213-1315 | |
| Judith J Chambers | Clinical Social Worker | 1804 Ne 45th Ave, Portland, OR 97213-1416 | |
| Diane Squire Hyde | Clinical Social Worker | 1804 Ne 45th Ave, Portland, OR 97213-1416 | |
| Marjorie J Hrbek | Internal Medicine | Broadway Medical Clinic LLP | 4212 Ne Broadway, Portland, OR 97213-1422 |
| Mary Lee Baker | Pediatric Medicine | Broadway Medical Clinic LLP | 4212 Ne Broadway, Portland, OR 97213-1422 |
| Lorelei Elizabeth Ditommaso | Dermatology | Broadway Medical Clinic LLP | 4212 Ne Broadway, Portland, OR 97213-1422 |
| Tracy L Hansen | Internal Medicine | Broadway Medical Clinic LLP | 4212 Ne Broadway, Portland, OR 97213-1422 |
| Anne M Hirsch | Internal Medicine | Broadway Medical Clinic LLP | 4212 Ne Broadway, Portland, OR 97213-1422 |
| Find all physicians in zip 97213 | |||
| City | PORTLAND |
| Zip Code | 97213 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | PORTLAND + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Bruce K Bolton.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.