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Individual

GREG W BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
445 E MAIN ST, HILLSBORO, OR 97123-4084
(503) 640-2757
(503) 640-9753
Mailing address
445 E MAIN ST, HILLSBORO, OR 97123-4084
(503) 640-2757
(503) 640-9753

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD19888
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
023873001
BLUE CROSS/BLUE SHIELD
OR
05
081856
OR
01
3460807
CIGNA
OR
01
R163533
PTAN
Enumeration date
09/29/2005
Last updated
04/11/2013
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