Healthcare Provider Details
I. General information
NPI: 1578426862
Provider Name (Legal Business Name): SARAH BRERETON MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
SHRINNERS HOSPITALS FOR CHILDREN, PORTLAND 3101 SW SAM JACKSON PARK ROAD
PORTLAND OR
97239-3009
US
IV. Provider business mailing address
SHRINNERS HOSPITALS FOR CHILDREN, PORTLAND 3101 SW SAM JACKSON PARK ROAD
PORTLAND OR
97239-3009
US
V. Phone/Fax
- Phone: 503-221-3424
- Fax: 503-221-3490
- Phone: 503-221-3424
- Fax: 503-221-3490
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: