Roy Eugene Breen MD

NPI 1164594248 - Surgery - 208600000X

NPI Details
NPI 1164594248
Gender Male
Enumeration Date 11/14/2006
Last Updated 09/19/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
4805 NE GLISAN ST
SUITE 6N60
PORTLAND OR, 97213-2933, US
Phone (503) 281-0561
Fax (503) 416-7377
Business Location
847 NE 19TH AVE
SUITE 300
PORTLAND OR, 97232-2684, US
Phone (503) 963-2801
Fax (503) 963-2825
Toxanomy
Taxonomy Code 208600000X
License State Oregon
License Number MD12258
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According to our database, Roy Eugene Breen MD NPI is 1164594248, taxonomy code is 208600000X and license number is MD12258, license state is located at Oregon. Roy Eugene Breen MD physically located at 4805 Ne Glisan St, Portland OR, 97213-2933. NPI Number Roy Eugene Breen MD has the Individual type.

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1164594248 NPI number is provided on an as is basis without warranty of any kind. 1164594248 is maintained by the National Plan & Provider Enumeration System. The contents of Roy Eugene Breen MD are for informational purposes only.