MEDICARE: JULIANNE BROWER PA-C

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	363A00000X	Physician Assistant	10191082-1206	UT
2	363A00000X	Physician Assistant	7927	AZ

General Provider Information

NPI Number	:	1891230959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIANNE BROWER PA-C

Provider Business Mailing Address
First Line	:	4415 SE WOODSTOCK BLVD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97206-6271
Country	:	US
Telephone Number	:	503-684-8252
Fax Number	:

Provider Business Practice Location Address
First Line	:	4415 SE WOODSTOCK BLVD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97206-6271
Country	:	US
Telephone Number	:	503-684-8252
Fax Number	:	503-684-8252

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

Provider Enumeration Date	:	12/28/2016
Last Update Date	:	11/21/2023

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Directions to “ JULIANNE BROWER PA-C” Practice Location

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