MEDICARE: RICHARD BRYAN BELL MD, DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	D7759	OR
2	204E00000X	Oral & Maxillofacial Surgery (D.M.D.)	MD23283	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992704878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD BRYAN BELL MD, DDS

Provider Business Mailing Address
First Line	:	PO BOX 3158
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97208-3158
Country	:	US
Telephone Number	:	503-215-6494
Fax Number	:	503-224-0722

Provider Business Practice Location Address
First Line	:	4805 NE GLISAN ST STE 11N
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97213-2933
Country	:	US
Telephone Number	:	503-215-3053
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	01/15/2021

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Directions to “ RICHARD BRYAN BELL MD, DDS” Practice Location

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