DR. BEVERLY ANN DE LA BRUERE
NPI 1720176332
Family Medicine - Addiction Medicine in Damascus, OR

Q: What is Beverly De La Bruere's NPI number?

The NPI number for Beverly De La Bruere is 1720176332. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Q: What is Beverly De La Bruere's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Active since October 10, 2006

18151 SE HIGHWAY 212, DAMASCUS, OR 97089(503) 658-6022(503) 658-7818 Get Directions Write a Review

NPPES record last updated: August 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Beverly Ann De La Bruere NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BEVERLY ANN DE LA BRUERE (NPI 1720176332) is an individual addiction medicine provider in Damascus, Oregon, licensed in Oregon (MD15031) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1720176332

Entity TypeIndividualFemale

Primary Taxonomy207QA0401X

Provider Legal NameDR. BEVERLY ANN DE LA BRUERE

Location Address18151 SE HIGHWAY 212Damascus, OR 97089-8764

Mailing Address18151 Se Highway 212Damascus, OR 97089-8764 · (503) 658-6022 · Fax (503) 658-7818

Phone(503) 658-6022

Fax(503) 658-7818

Sole ProprietorYes

Enumeration DateOctober 10, 2006

Last NPPES UpdateAugust 2, 2012

✔ NPI 1720176332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0401X

License✔ Licensed in OR · MD15031

Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

18151 SE HIGHWAY 212, Damascus, OR 97089

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Other Identifiers 3

Medicare UPINC92493OR

Medicare ID-Type UnspecifiedR0000BHXVZOR

Medicaid110403OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALTHY CHOICES WELLNESS CENTER INC

Clinic/Center (Primary Care)

18151 SE HIGHWAY 212
DAMASCUS, OR 97089

Multnomah County (503) 658-6022

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beverly De La Bruere's NPI number?

The NPI number for Beverly De La Bruere is 1720176332. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Beverly De La Bruere located?

Beverly De La Bruere practices at 18151 SE Highway 212, Damascus, OR 97089. The listed phone number is (503) 658-6022.

What is Beverly De La Bruere's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

What insurance does Beverly De La Bruere accept?

Health plans from Providence Health Plan list Beverly De La Bruere as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beverly De La Bruere was last updated on August 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.