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Dr. BRUCE LEEWIWATANAKUL DO

Individual Provider (NPI-1) Active

Psychiatry & Neurology, Child & Adolescent Psychiatry

Provider Information

NPI Number
1821521279
Provider Type
Individual Provider (NPI-1)
Credentials
DO
Status
Active

Contact & Location

Address
3181 SW SAM JACKSON PARK RD. OHSU, PORTLAND, OR, 97239
Phone
(503) 494-8211

Specialties & Taxonomies

Psychiatry & Neurology, Psychiatry License: PA #OS021227
Psychiatry & Neurology, Child & Adolescent Psychiatry License: PA #OS021227
Pediatrics License: OR #DO197940
Psychiatry & Neurology, Child & Adolescent Psychiatry Primary License: OR #DO219810
Psychiatry & Neurology, Psychiatry License: OR #DO219810
Student in an Organized Health Care Education/Training Program

All Addresses

MAILING

1400 SW 5TH AVE STE 500

PORTLAND, OR, 972015537

(866) 617-6855

LOCATION

3181 SW SAM JACKSON PARK RD. OHSU

PORTLAND, OR, 97239

(503) 494-8211