Healthcare Provider Details

I. General information

NPI: 1962437988
Provider Name (Legal Business Name): JAMES CHRISTOPHER BROWN MSW, LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 03/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 RIVER RD SUITE 300
EUGENE OR
97404-2046
US

IV. Provider business mailing address

2620 RIVER RD SUITE 300
EUGENE OR
97404-2046
US

V. Phone/Fax

Practice location:
  • Phone: 541-689-3508
  • Fax: 541-607-1739
Mailing address:
  • Phone: 541-689-3508
  • Fax: 541-607-1739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberL4306
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: