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NPI 1518137637

NPI 1518137637 : DEBORAH J BROWN P.A.-C : RIDGEFIELD, WA

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General NPI Number Information
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    NPI Number           |    1518137637
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    Entity Type          |    Individual 
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    Provider Name        |    DEBORAH J BROWN P.A.-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/04/2008
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    Last Update Date     |    12/24/2025
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Provider Practice Location Address
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    Address Line         |    8507 S 5TH ST STE 113 
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    City                 |    RIDGEFIELD
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    State                |    WA
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    Zip                  |    98642-3422
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    Country              |    US
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    Telephone            |    360-887-9494
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    Fax                  |    360-887-9498
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Provider Business Mailing Address
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    Address Line         |    4100 PLOMONDON ST 
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    City                 |    VANCOUVER
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    State                |    WA
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    Zip                  |    98661-5645
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    Country              |    US
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    Telephone            |    360-313-1390
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    Fax                  |    360-313-1391
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    PA60010583
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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