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Contact Information

BRETTON H BREAZEALE, MD
2900 DAGGETT AVE
KLAMATH FALLS, OR97601
 Phone: 541-205-3974
 Fax: 541-205-5652
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for BRETTON H BREAZEALE · (Male)

NPI Number 1699883785
Status Active
Credentials MD
Entity Individual
Enumeration date 08/28/2006
Last updated 06/23/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD26555
  • CA Medicaid XPY204768
  • OR Medicaid 213057
Hospital affiliation(s)
  • ROGUE VALLEY MEDICAL CENTER - (Acute Care)
    2825 E BARNETT ROAD
    MEDFORD, OR 97504
  • SKY LAKES MEDICAL CENTER - (Acute Care)
    2865 DAGGETT AVENUE
    KLAMATH FALLS, OR 97601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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