Individual
BRETT M ANDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11782 SW BARNES RD, SUITE 300, PORTLAND, OR 97225-5914
(503) 214-5200
(503) 996-6613
Mailing address
11782 SW BARNES RD, STE 300, PORTLAND, OR 97225-5933
(503) 214-5200
(503) 996-6613
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD28514
OR
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD28514
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026203
—
OR
01
—
MD28514
OREGON MEDICAL LICENSE
OR
Enumeration date
08/30/2005
Last updated
09/12/2024
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