Individual
BRETT W MIKESKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
875 OAK ST SE STE 5070, SALEM, OR 97301-3975
(503) 561-8565
(503) 561-8560
Mailing address
875 OAK ST SE STE 5070, SALEM, OR 97301-3975
(503) 561-8565
(503) 561-8560
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25552
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023097
—
OR
Enumeration date
09/21/2006
Last updated
03/31/2008
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