IndividualActive
Beverly De La Bruere
NPI 1720176332 · Addiction Medicine (Family Medicine) Physician · Damascus, OR
Provider details
- NPI number
- 1720176332
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
- License
- MD15031 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
18151 Se Highway 212
Damascus, OR 97089-8764
Phone: (503) 658-6022
Fax: (503) 658-7818
Approximate (ZIP-level) locationGet directions
Mailing address
18151 Se Highway 212
Damascus, OR 97089-8764
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2012-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.