NPI 1053553321 · live from the CMS NPI Registry
Samuel Fritz Bremmer, M.D.
Dermatology in Portland, OR. National Provider Identifier 1053553321, active.
NPI record
| NPI | 1053553321 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 |
| Practice phone | 503-494-8211 |
| Mailing address | 2285 Corporate Cir, Ste 200, Henderson, NV 89074 |
| Enumerated | April 1, 2009 |
| Last updated | April 16, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | MD161920 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.