Healthcare Provider Details

I. General information

NPI: 1518137637
Provider Name (Legal Business Name): DEBORAH J BROWN P.A.-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2008
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8507 S 5TH ST STE 113
RIDGEFIELD WA
98642-3422
US

IV. Provider business mailing address

4100 PLOMONDON ST
VANCOUVER WA
98661-5645
US

V. Phone/Fax

Practice location:
  • Phone: 360-887-9494
  • Fax: 360-887-9498
Mailing address:
  • Phone: 360-313-1390
  • Fax: 360-313-1391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA60010583
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: