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General NPI Number Information
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NPI Number | 1801707633
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Entity Type | Individual
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Provider Name | JEFFRY BROWN
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Gender | Male
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Dates
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Enumeration Date | 09/12/2026
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Last Update Date | 09/12/2026
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Provider Practice Location Address
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Address Line | 1755 LOCKHAVEN DR NE # 505
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City | KEIZER
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State | OR
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Zip | 97303-2071
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Country | US
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Telephone | 503-851-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 785 STEWART ST NE
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City | SALEM
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State | OR
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Zip | 97301-2517
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | R10262
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License Number State | OR
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