institution
Stephen L Brenneke, M.d., P.c.
Specialist in Portland, Oregon
NPI 1881868099

Stephen L Brenneke, M.d., P.c. is a Specialist based in Portland, OR. Stephen L Brenneke, M.d., P.c. practices in Portland, OR. The NPI Number for Stephen L Brenneke, M.d., P.c. is 1881868099 and holds a License No. MD11314 (Oregon).

The current practice location address for Stephen L Brenneke, M.d., P.c. is 3510 Ne 122Nd Ave, Portland, OR and can be reached out via phone at 503-252-0221 and via fax at 503-253-4769.

Location: 3510 Ne 122Nd Ave, Portland, OR, 97230-1500
institution
Provider Profile Details
NPI Number
1881868099
Provider Name
Stephen L Brenneke, M.d., P.c.
Credential
Provider Entity Type
Organization
Address
3510 Ne 122Nd Ave, Portland, OR, 97230-1500
Phone Number
503-252-0221
Fax Number
503-253-4769
Provider Enumeration Date
04/17/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3510 Ne 122Nd Ave
City
State
Zip
97230-1500
Phone Number
503-252-0221
Fax Number
503-253-4769
person
Provider Business Mailing Address Details
Address
3510 Ne 122Nd Ave
City
State
Zip
97230-1500
Phone Number
503-252-0221
Fax Number
503-253-4769
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MD11314 (Oregon)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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