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NPI Code Detail

MEDICARE: LAUREL M BROWN PA

MEDICARE: LAUREL M BROWN PA
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
1363A00000XPhysician AssistantPA157035OR
2363AM0700XMedical Physician Assistant
3363A00000XPhysician AssistantPA20827CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063737252
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREL M BROWN PA
Provider Business Mailing Address
First Line : 931 CHEVY WAY
Second Line :
City : MEDFORD
State : OR
Zip : 97504-4127
Country : US
Telephone Number : 541-690-3555
Fax Number : 541-512-1026
Provider Business Practice Location Address
First Line : 910 S CENTRAL AVE
Second Line :
City : MEDFORD
State : OR
Zip : 97501-7822
Country : US
Telephone Number : 541-618-1380
Fax Number : 541-618-1385
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2010
Last Update Date : 02/11/2026

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Directions to “ LAUREL M BROWN PA” Practice Location

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