Brischetto, Brenda J
Brischetto, Brenda J is an individual health care provider with primary practice located at 10330 Se 32Nd Ave Ste 205 , Milwaukie OR 97222-6594. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Brischetto, Brenda J can be contacted via phone (503) 513-8950.Contact Information
Primary practice address
10330 Se 32Nd Ave Ste 205
Milwaukie OR 97222-6594
Phone: (503) 513-8950
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD22406 | Oregon |
Profile Details
| NPI number | 1306891742 |
|---|---|
| LBN Legal business name | Brischetto, Brenda J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Jan 5th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306891742 | NPPES |
| Oregon | MEDICAID | 288367 |
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