Provider Demographics
NPI:1699743062
Name:BRUNE, ADRIANA M (MD)
Entity type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:M
Last Name:BRUNE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1740 NW 9TH ST
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-2141
Mailing Address - Country:US
Mailing Address - Phone:541-230-1350
Mailing Address - Fax:
Practice Address - Street 1:2773 NW 9TH STREET
Practice Address - Street 2:BRUNE DERMATOLOGY, LLC
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330
Practice Address - Country:US
Practice Address - Phone:541-230-1350
Practice Address - Fax:541-207-3477
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD28131207NP0225X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NP0225XAllopathic & Osteopathic PhysiciansDermatologyPediatric Dermatology