Organization · Type 2 NPI

Stephen L Brenneke, M.d., P.c.

Specialist · Portland, OR

NPI number 1881868099 Active

Practice location

3510 NE 122nd Ave, Suite 103
Portland, OR 97230-1500

Call (503) 252-0221 Map

Fax (503) 253-4769

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMD11314 (OR)

Specialist: 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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About NPI 1881868099

Stephen L Brenneke, M.d., P.c.'s National Provider Identifier is 1881868099, issued on Apr 17, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Apr 17, 2008.