Whalio Doctors

NPI 1265451033

Joel B Brenner, MD

Practitioner Emergency Medicine Physician Gresham, OR

Practice location

Address
24800 SE Stark St, Gresham, OR 97030-3378
Phone
(503) 674-1400
Mailing address
6312 SW Capitol Hwy # 502, Portland, OR 97239-1938

Registered specialties

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence MD10183 (OR)

Registry record

NPI
1265451033
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Jul 2006
Record last updated
8 Jul 2007

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.