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NPI Code Detail

MEDICARE: MRS. LUIZA MARIA BROWN FNP-C

MEDICARE:  MRS. LUIZA MARIA BROWN  FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner634693CA
2363LP2300XPrimary Care Nurse Practitioner634693CA
3207QH0002XHospice and Palliative Medicine (Family Medicine) Physician201807431NP-PPOR

General Provider Information

NPI Number : 1174038491
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LUIZA MARIA BROWN FNP-C
Provider Business Mailing Address
First Line : 7632 SW DURHAM RD STE 130
Second Line :
City : TIGARD
State : OR
Zip : 97224-7584
Country : US
Telephone Number : 800-936-4756
Fax Number :
Provider Business Practice Location Address
First Line : 7632 SW DURHAM RD STE 130
Second Line :
City : TIGARD
State : OR
Zip : 97224-7584
Country : US
Telephone Number : 800-936-4756
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2017
Last Update Date : 01/11/2022

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