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NPI Code Detail

MEDICARE: KATIE LYNN BROWN MSCN

MEDICARE: KATIE LYNN BROWN MSCN
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
1103K00000XBehavior Analyst
2133N00000XNutritionist

General Provider Information

NPI Number : 1306301585
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE LYNN BROWN MSCN
Provider Business Mailing Address
First Line : 15469 NW WHITE FOX DR
Second Line :
City : BEAVERTON
State : OR
Zip : 97006-5660
Country : US
Telephone Number : 503-577-9370
Fax Number :
Provider Business Practice Location Address
First Line : 16679 BOONES FERRY RD STE 105
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-4378
Country : US
Telephone Number : 503-635-6005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2019
Last Update Date : 10/05/2020

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Directions to “ KATIE LYNN BROWN MSCN” Practice Location

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