Individual
DR. KEVIN SCOTT BREGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-8407
(503) 413-6951
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-3900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A98474
CA
207R00000X
Internal Medicine Physician
Primary
MD29379
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A984740
—
CA
Enumeration date
03/10/2008
Last updated
08/19/2009
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