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

Stacy Brueckner

Individual provider Family Medicine Physician · NPI 1396140968

Stacy Brueckner is a Family Practice in Hermiston, Oregon. Graduated from Western University of Health Sciences College of Dental Med in 2016, 10 years ago. Practices with Salem Health, a 479-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
10
Trained at
Western University of Health Sciences College of Dental Med
Licensed in
OR
In the registry since
2014

Practice location Address checks out

589 NW 11th St
Hermiston, OR 97838-6600
Phone: (541) 567-1717
Fax: (541) 564-5170
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO195341 (OR)

Record details

NPI number1396140968
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 25, 2014
Last updated in NPPESMarch 4, 2021
Certification dateMarch 4, 2021
Mailing address589 Nw 11th St, Hermiston, OR 97838-6600

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated 2016 (10 years in practice)
Group practice Salem Health — 479 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hermiston