Healthcare Provider Details

I. General information

NPI: 1497715098
Provider Name (Legal Business Name): JAMES BRUCE BELL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2006
Last Update Date: 01/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 NE 87TH AVE STE. 460
VANCOUVER WA
98664-1989
US

IV. Provider business mailing address

8025 SE EVERGREEN HWY
VANCOUVER WA
98664-2301
US

V. Phone/Fax

Practice location:
  • Phone: 360-256-8865
  • Fax: 360-256-7127
Mailing address:
  • Phone: 360-694-0425
  • Fax: 360-735-3481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD00009804
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD15461
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: