Individual
MR. BARRY LEE BROWN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NONE
Contact information
Practice address
3325 HAROLD DR NE, SALEM, OR 97305-1339
(503) 540-5571
(503) 363-4820
Mailing address
527 SW CHAPMAN ST, SHERIDAN, OR 97378-1604
(971) 241-5625
(503) 363-4820
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
07-P-09
OR
171M00000X
Case Manager/Care Coordinator
Primary
07-P-09
OR
Other
Enumeration date
01/30/2007
Last updated
08/16/2007
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