Healthcare Provider Details

I. General information

NPI: 1598344897
Provider Name (Legal Business Name): MICHAEL HADLEY BROWN JR. DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2021
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15912 E MARIETTA AVE
SPOKANE VALLEY WA
99216-2552
US

IV. Provider business mailing address

PO BOX 3405
SPOKANE WA
99220-3405
US

V. Phone/Fax

Practice location:
  • Phone: 509-753-7222
  • Fax:
Mailing address:
  • Phone: 509-753-7222
  • Fax: 509-342-2743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberOP70078290
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: