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NPI 1790434090

NPI 1790434090 : JONATHAN MATTHEW BROWNE MD : ELLENSBURG, WA

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General NPI Number Information
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    NPI Number           |    1790434090
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    Entity Type          |    Individual 
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    Provider Name        |    JONATHAN MATTHEW BROWNE MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/22/2022
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    Last Update Date     |    07/01/2025
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Provider Practice Location Address
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    Address Line         |    603 S CHESTNUT ST 
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    City                 |    ELLENSBURG
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    State                |    WA
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    Zip                  |    98926-3875
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    Country              |    US
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    Telephone            |    509-933-8693
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    750 NE 94TH AVE 
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    City                 |    PORTLAND
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    State                |    OR
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    Zip                  |    97220-4558
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    Country              |    US
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    Telephone            |    210-216-8863
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    Fax                  |    
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    169083
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    License Number State |    FL
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