MEDICARE: SCOUT BROWN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1013700111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOUT BROWN

Provider Business Mailing Address
First Line	:	6036 SE 100TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97266-4430
Country	:	US
Telephone Number	:	503-358-5544
Fax Number	:

Provider Business Practice Location Address
First Line	:	5441 S MACADAM AVE STE R
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97239-3822
Country	:	US
Telephone Number	:	503-482-8116
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2025
Last Update Date	:	06/06/2026

Similar Medicare Providers

1679405195 — LARSON DERMATOLOGY, LLC
Practice Location Address:

5441 S MACADAM AVE STE R
PORTLAND, OR
97239-3822

Practice Phone: 541-919-2353
Practice Fax:

1265674121 — JENNIFER K SHOCKLIE MSN, RN, PMHNP-BC
Practice Location Address:

5441 S MACADAM AVE STE N
PORTLAND, OR
97239-3822

Practice Phone: 503-707-1053
Practice Fax: 541-512-6127

1538649124 — JILLYAN BURGESS
Practice Location Address:

5441 S MACADAM AVE STE A
PORTLAND, OR
97239-3822

Practice Phone: 503-489-7077
Practice Fax:

1699126011 — NICHOLAS BRYCE WOODS LCSW
Practice Location Address:

5441 S MACADAM AVE STE N
PORTLAND, OR
97239-3822

Practice Phone: 541-250-4060
Practice Fax:

1801115175 — JESSICA ANDREAS BARTON MSW,CSWA
Practice Location Address:

5441 S MACADAM AVE STE R
PORTLAND, OR
97239-3822

Practice Phone: 503-610-8260
Practice Fax:

1376859421 — MR. DARRETT JEROME BURR LMHC, LPC
Practice Location Address:

5441 S MACADAM AVE STE R
PORTLAND, OR
97239-3822

Practice Phone: 206-458-2556
Practice Fax:

Directions to “ SCOUT BROWN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.