IndividualActive
Bruce Blank, M.D.
NPI 1992809966 · Urology Physician · Portland, OR
Bruce Blank, M.D. is a Urology Physician provider in Portland, OR (NPI 1992809966).
Provider details
- NPI number
- 1992809966
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD09769 (OR)
Practice location
164 Nw Macleay Blvd
Portland, OR 97210-3323
Phone: (503) 228-1253
Fax: (503) 228-1797
Street-level locationGet directions
Mailing address
164 Nw Macleay Blvd
Portland, OR 97210-3323
Registry dates
- Enumerated
- 2006-09-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.