David E Bilstrom, MD
Specialist in Portland, OR. Individual provider (NPI-1).
NPI number1790766764
StatusActive
Last updated in NPPESApr 16, 2013
Details
- NPI
- 1790766764
- Entity type
- Individual (NPI-1)
- Name
- David E Bilstrom
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 8, 2005
- Last updated
- Apr 16, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ALLERGY/IMMUNOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | MD10617 | OR | Yes |
Practice location
9370 Sw Greenburg RdSuite A
Portland, OR 97223-5442
Phone 503-245-8060 · Fax 503-245-8104
Mailing address
9370 Sw Greenburg RdSuite A
Portland, OR 97223-5442
Phone 503-245-8060 · Fax 503-245-8104
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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