Individual provider · Type 1 NPI
Beverly Ann De la Bruere
Addiction Medicine (Family Medicine) Physician · Damascus, OR
NPI number
1720176332
Active
Practice location
18151 SE Highway 212
Damascus, OR 97089-8764
Fax (503) 658-7818
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | MD15031 (OR) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
Another provider at this address
About NPI 1720176332
Beverly Ann De la Bruere's National Provider Identifier is 1720176332, issued on Oct 10, 2006. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Damascus, OR. The record was last updated on Aug 2, 2012.