Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHEN LOUIS BRENNEKE, M.D.
Active Sole ProprietorDR. STEPHEN LOUIS BRENNEKE, M.D. is a Sports Medicine (Orthopaedic) healthcare provider located in CLACKAMAS, Oregon. NPI 1194714303 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · CLACKAMAS, OR
Registration Details
- NPI Number
- 1194714303
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2005 (20.865422323078 yrs)
- Last Updated
- Mar 1, 2011
- License
-
MD11314 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10121 SE SUNNYSIDE RDSUITE 130CLACKAMAS, OR, 970155745Browse OR providers · Browse ZIP 97015
- Phone
- 5037663545
- Fax
- 5033423766
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XS0114X
Other Sports Medicine (Orthopaedic) Providers in CLACKAMAS, OR
| Name | Credential | NPI |
|---|---|---|
| SETH LEOPOLD GOLDSMITH | M.D. | 1194817569 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.