Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BEVERLY ANN DE LA BRUERE
Active Sole ProprietorDR. BEVERLY ANN DE LA BRUERE is a Addiction Medicine (Family Practice) healthcare provider located in DAMASCUS, Oregon. NPI 1720176332 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · DAMASCUS, OR
Registration Details
- NPI Number
- 1720176332
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 10, 2006 (19.875384880033 yrs)
- Last Updated
- Aug 2, 2012
- License
-
MD15031 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18151 SE HIGHWAY 212DAMASCUS, OR, 970898764Browse OR providers · Browse ZIP 97089
- Phone
- 5036586022
- Fax
- 5036587818
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
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.