Healthcare Provider Details

I. General information

NPI: 1881216547
Provider Name (Legal Business Name): ANGIE MAE OLSEN BROWNING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2020
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

373 NE GREENWOOD AVE
BEND OR
97701-4605
US

IV. Provider business mailing address

66 CLUB RD STE 350
EUGENE OR
97401-2599
US

V. Phone/Fax

Practice location:
  • Phone: 541-343-1728
  • Fax: 855-282-3544
Mailing address:
  • Phone: 541-343-1728
  • Fax: 855-282-3544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC10948
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: