Dr Beverly Ann De La Bruere, is a
Family Medicine - Addiction Medicine physician based in Damascus, Oregon. Dr Beverly Ann De La Bruere is licensed to practice in Oregon (license number MD15031) and her current practice location is 18151 Se Highway 212, Damascus, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 658-6022.
NPI number for Dr Beverly Ann De La Bruere is 1720176332 and her current mailing address is 18151 Se Highway 212, Damascus, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720176332.
Physician's Profile
| Full Name | Dr Beverly Ann De La Bruere |
|---|
| Gender | Female |
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| Speciality | Family Medicine - Addiction Medicine |
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| Location | 18151 Se Highway 212, Damascus, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720176332
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 08/02/2012
Medical Identifiers
Medical identifiers for Dr Beverly Ann De La Bruere such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720176332 | NPI | - | NPPES |
| 110403 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207QA0401X | Family Medicine - Addiction Medicine | MD15031 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Beverly Ann De La Bruere is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Beverly Ann De La Bruere,
18151 Se Highway 212,
Damascus, OR 97089-8764
Ph: (503) 658-6022 | Dr Beverly Ann De La Bruere,
18151 Se Highway 212,
Damascus, OR 97089-8764
Ph: (503) 658-6022 |
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