Individual provider · Type 1 NPI

Justin Womock Bruno

Family Medicine Physician · Portland, OR

NPI number 1528452901 Active

Practice location

19500 SE Stark St
Portland, OR 97233-5757

Mailing address

500 NE Multnomah St Ste 100
Portland, OR 97232-2031

Other practice locations

  • 3600 NW Samaritan Dr, Corvallis, OR 97330-5472 · (541) 768-4906

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XDO189652 (OR)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1528452901

Justin Womock Bruno's National Provider Identifier is 1528452901, issued on Mar 24, 2015. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Portland, OR. The record was last updated on Jan 15, 2026.