Bruegl, Amanda S

Bruegl, Amanda S is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd L466, Portland OR 97239-3011. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecologic Oncology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is her primary health care specialty. Bruegl, Amanda S can be contacted via phone (503) 418-4500.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd L466 Portland OR 97239-3011
Phone: (503) 418-4500
Fax: (503) 494-4473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X MD171824 Oregon
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD171824 Oregon

Profile Details

NPI number 1700080785
LBN Legal business name Bruegl, Amanda S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Jun 5th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700080785 NPPES
Texas Other 8DU092 BCBS (MDACC)
Texas MEDICAID 319718801 (MDACC) BCBS (MDACC)

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