Dr. Irvan Bubic, MD
Anesthesiology, Pain Medicine in Portland, OR. Individual provider (NPI-1).
NPI number1124656608
StatusActive
Last updated in NPPESJul 2, 2025
Details
- NPI
- 1124656608
- Entity type
- Individual (NPI-1)
- Name
- Dr. Irvan Bubic
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2020
- Certification date
- Jul 2, 2025
- Last updated
- Jul 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP2900X | Anesthesiology, Pain Medicine | MD219144 | OR | Yes |
| 207P00000X | Emergency Medicine | MD219144 | OR |
Practice location
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-7551
Mailing address
1400 Sw 5th Ave Ste 500Portland, OR 97201-5537
Phone 866-617-6855 · Fax 503-346-8015
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