Individual provider · Type 1 NPI

Bruce Fernstrom, PA-C

Surgical Physician Assistant · Portland, OR

NPI number 1255329967 Active

Practice location

501 N Graham St Ste 420
Portland, OR 97227-2006

Call (503) 288-7303 Map

Fax (503) 288-3806

Mailing address

541 NE 20th Ave Ste 225
Portland, OR 97232-2895

Other practice locations

  • 19250 SW 65th Ave Ste 235, Tualatin, OR 97062-7745 · (503) 692-4820
  • 1130 NW 22nd Ave Ste 400, Portland, OR 97210-2971 · (503) 413-6722

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA00805 (OR)
Surgical Physician Assistant Primary 363AS0400XPA00805 (OR)

Surgical Physician Assistant: Definition to come...

8 other providers at this address

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About NPI 1255329967

Bruce Fernstrom, PA-C's National Provider Identifier is 1255329967, issued on Oct 7, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on Jul 28, 2025.