NPI 1194714303

Stephen Louis Brenneke, MD

Practitioner Adult Reconstructive Orthopaedic Surgery Physician Clackamas, OR

Practice location

Address: 10121 SE Sunnyside Rd Suite 130, Clackamas, OR 97015-5745
Phone: (503) 766-3545
Fax: (503) 342-3766

Registered specialties

Adult Reconstructive Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207XS0114X Licence MD11314 (OR)

Other Orthopaedic Surgery providers in Oregon →

Registry record

NPI: 1194714303
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Oct 2005
Record last updated: 1 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.