Individual
BRENT BEIRDNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1750 13TH ST SE, SALEM, OR 97302-2542
(503) 588-8188
Mailing address
1750 13TH ST SE, SALEM, OR 97302-2542
(503) 588-8188
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
DP204042
OR
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP204042
OR
Other
Enumeration date
05/06/2016
Last updated
07/16/2025
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