Healthcare Provider Details

I. General information

NPI: 1972892495
Provider Name (Legal Business Name): MEGAN LYNNE BROWN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN LYNNE RUDE M.D.

II. Dates (important events)

Enumeration Date: 04/05/2011
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18765 SW BOONES FERRY RD STE 100
TUALATIN OR
97062-8607
US

IV. Provider business mailing address

2415 SE 43RD AVE SUITE 100
PORTLAND OR
97206-1600
US

V. Phone/Fax

Practice location:
  • Phone: 503-612-1000
  • Fax: 503-612-1090
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberPG159003
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD171055
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: