Search › Oregon › 171100000X
Travis Brueckner
NPI 1518467828 · on the registry since 2018 · sole proprietor
Practice
- Address
- 921 Lawless St Ne
Keizer, OR 97303 - Phone
- (503) 507-7274
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-02-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon