Brenneke, Stephen Louis

Brenneke, Stephen Louis is an sole proprietor health care provider with primary practice located at 10121 Se Sunnyside Rd Suite 130, Clackamas OR 97015-5745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Brenneke, Stephen Louis can be contacted via phone (503) 766-3545.

Contact Information

Primary practice address
10121 Se Sunnyside Rd Suite 130 Clackamas OR 97015-5745
Phone: (503) 766-3545
Fax: (503) 342-3766
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X MD11314 Oregon

Profile Details

NPI number 1194714303
LBN Legal business name Brenneke, Stephen Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated Mar 1st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194714303 NPPES
Oregon Other 112187 MEDICARE GROUP

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