STACY BRUECKNER

HERMISTON, OR
NPI1396140968
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  DO195341)
Enumeration Date2014-10-25
Last Update Date2021-03-04
Business Address
STACY BRUECKNER
589 NW 11TH ST
HERMISTON, OR 97838-6600
Phone number: 541-567-1717
Mailing Address
STACY BRUECKNER
589 NW 11TH ST
HERMISTON, OR 97838-6600
Phone number: 541-567-1717
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