Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stephen L Brenneke, MD, PC

Organization Specialist · NPI 1881868099

Stephen L Brenneke, MD, PC is a Specialist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3510 NE 122nd Ave Ste 103
Portland, OR 97230-1500
Phone: (503) 252-0221
Fax: (503) 253-4769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MD11314 (OR)

Record details

NPI number1881868099
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Brenneke — President · (503) 252-0221
NPI enumeratedApril 17, 2008
Last updated in NPPESApril 17, 2008
Mailing address3510 Ne 122nd Ave, Suite 103, Portland, OR 97230-1500

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