IndividualActive
Stephen Brenneke, M.D.
NPI 1194714303 · Adult Reconstructive Orthopaedic Surgery Physician · Clackamas, OR
Provider details
- NPI number
- 1194714303
- Entity type
- Individual
- Primary specialty
- Adult Reconstructive Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD11314 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
10121 Se Sunnyside Rd
Suite 130
Clackamas, OR 97015-5745
Phone: (503) 766-3545
Fax: (503) 342-3766
Approximate (ZIP-level) locationGet directions
Mailing address
10121 Se Sunnyside Rd
Clackamas, OR 97015-5745
Registry dates
- Enumerated
- 2005-10-19
- Last updated
- 2011-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.