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NPI Code Detail

MEDICARE: DAVID BROWN PMHNP-BC

MEDICARE: DAVID BROWN PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner202109758NP-PPOR

General Provider Information

NPI Number : 1083263529
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID BROWN PMHNP-BC
Provider Business Mailing Address
First Line : 2605 STATE ST
Second Line :
City : SALEM
State : OR
Zip : 97310-1346
Country : US
Telephone Number : 503-849-9496
Fax Number :
Provider Business Practice Location Address
First Line : 2605 STATE ST
Second Line :
City : SALEM
State : OR
Zip : 97310-1346
Country : US
Telephone Number : 503-849-9496
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2019
Last Update Date : 10/24/2021

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Directions to “ DAVID BROWN PMHNP-BC” Practice Location

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