STEPHEN L BRENNEKE, M.D., P.C.
NPI 1881868099
Specialist in Portland, OR

Q: What is Stephen L Brenneke, M.D., P.C.'s NPI number?

The NPI number for Stephen L Brenneke, M.D., P.C. is 1881868099. It was assigned to this organization in the NPPES registry on April 17, 2008.

Q: What is Stephen L Brenneke, M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since April 17, 2008

3510 NE 122ND AVE, SUITE 103, PORTLAND, OR 97230(503) 252-0221(503) 253-4769 Get Directions Write a Review

NPPES record last updated: April 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stephen L Brenneke, M.d., P.c. NPPES

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

STEPHEN L BRENNEKE, M.D., P.C. (NPI 1881868099) is a healthcare organization registered as a specialist in Portland, Oregon and active in the NPI registry since April 2008. The organization lists Stephen L Brenneke, President, as its authorized official.

NPPES Registry Identity

NPI1881868099

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSTEPHEN L BRENNEKE, M.D., P.C.

Location Address3510 NE 122ND AVE, SUITE 103Portland, OR 97230-1500

Mailing Address3510 Ne 122nd Ave, Suite 103Portland, OR 97230-1500 · (503) 252-0221 · Fax (503) 253-4769

Phone(503) 252-0221

Fax(503) 253-4769

Organization SubpartNo

Authorized OfficialStephen L BrennekePresident · (503) 252-0221

Enumeration DateApril 17, 2008

✔ NPI 1881868099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in OR · MD11314

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3510 NE 122ND AVE, Portland, OR 97230

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Other Identifiers 1

Medicare PINR112187OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Stephen L Brenneke, M.D., P.C.'s NPI number?

The NPI number for Stephen L Brenneke, M.D., P.C. is 1881868099. It was assigned to this organization in the NPPES registry on April 17, 2008.

Where is Stephen L Brenneke, M.D., P.C. located?

Stephen L Brenneke, M.D., P.C. is located at 3510 NE 122nd Ave Suite 103, Portland, OR 97230. The listed phone number is (503) 252-0221.

What is Stephen L Brenneke, M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Stephen L Brenneke, M.D., P.C. was last updated on April 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.