Bruce Fernstrom, PA is a surgical physician assistant in Portland, OR with 23 years of experience. Bruce Fernstrom, PA NPI is 1255329967. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
10000 SE MAIN ST
SUITE 342
PORTLAND, OR
ZIP 97216-448
Phone: (503) 255-5524
Fax: (503) 255-5120
The NPI 1255329967 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/7/2005 and was last updated on 12/1/2021.