Provider Demographics
NPI:1417951757
Name:DU BREY, LOUIS (AUD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:
Last Name:DU BREY
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2578 DAGGETT AVE
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97601-1127
Mailing Address - Country:US
Mailing Address - Phone:541-884-3725
Mailing Address - Fax:541-884-5466
Practice Address - Street 1:2578 DAGGETT AVE
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601-1127
Practice Address - Country:US
Practice Address - Phone:541-884-3725
Practice Address - Fax:541-884-5466
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-01
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR20852231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR058131Medicaid
139423Medicare PIN