Individual
DR. AMANDA S BRUEGL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, L466, PORTLAND, OR 97239-3011
(503) 418-4500
(503) 494-4473
Mailing address
3181 SW SAM JACKSON PARK RD, L466, PORTLAND, OR 97239-3011
(503) 418-4500
(503) 494-4473
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD171824
OR
207VX0201X
Gynecologic Oncology Physician
Primary
MD171824
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
319718801 (MDACC)
—
TX
01
—
8DU092
BCBS (MDACC)
TX
Enumeration date
06/13/2007
Last updated
06/05/2020
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