Individual
KURT A BRICKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1813 W HARVARD AVE, SUITE 241, ROSEBURG, OR 97471-2752
(541) 673-5579
(541) 673-0576
Mailing address
PO BOX 1700, ROSEBURG, OR 97470-0414
(541) 673-5579
(541) 673-0576
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO20870
OR
208M00000X
Hospitalist Physician
DO20870
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287707
—
OR
Enumeration date
12/02/2005
Last updated
04/25/2016
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