Individual
MAUREEN P BRUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4805 NE GLISAN ST STE BG12, PORTLAND, OR 97213-2933
(503) 215-2392
Mailing address
PO BOX 1193, CORVALLIS, OR 97339-1193
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD183804
OR
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
69367-20
WI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD183804
OR
390200000X
Student in an Organized Health Care Education/Training Program
PG172967
OR
Other
Enumeration date
06/12/2015
Last updated
01/18/2026
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