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Deactivated NPI 1376559831 Deactivated / Inactive NPI Male Practitioner

Dr. Phillip Michael Brenes , MD

Pediatrics • Portland, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Phillip Brenes has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 01, 2006
NPI Deactivation Date July 12, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Phillip Brenes, MD was a registered Pediatrics practicing in Portland, OR. Throughout an active medical career spanning 17 years, Dr. Brenes provided care at the practice location at 707 SW GAINES ST until profile deactivation on 2023-07-12.

Practice Location & Contact Primary Location

Practice Address

707 Sw Gaines St

Portland, OR 972392901

Telephone 8004523563
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 20.9 Yrs
Regional Practice Density
282 Specialists

Practicing in Portland, OR (880 Statewide)

Telehealth Adoption Rate
0.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OR MD07689

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
William Foran , PT

Physical Therapist

NPI 1003913872

Physical Therapist

Dr. John Liedel , MD

Pediatrics - Developmental - Behavioral Pediatrics

NPI 1023024627

Doctor of Medicine (M.D.)

David Oleson , PT

Physical Therapist

NPI 1043226533

Physical Therapist

Sarai Ortiz-Bucio

Social Worker - Clinical

NPI 1063079887
Kip Christensen , PT

Physical Therapist

NPI 1104909290

Physical Therapist

Tracy Brundage , OT

Occupational Therapist

NPI 1144317199

Occupational Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 12, 2023

Record deactivated on July 12, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 707 SW GAINES ST, PORTLAND, OR 972392901 (Tel: 8004523563)

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Updated Business Mailing Address July 08, 2007

Registered at 2519 NW 91ST ST, VANCOUVER, WA 986656234

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Provider Name / Credentials Updated July 08, 2007

Recorded as PHILLIP BRENES, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #MD07689 in OR)

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Initial NPI Registration & Enumeration August 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376559831
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2006
Last Update: July 08, 2007
Deactivation Date: July 12, 2023

Mailing Address

2519 Nw 91st St

Vancouver, WA 986656234

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.