Individual
DR. MICHAEL SHANE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
14406 NE 20TH AVE, OPTOMETRY DEPARTMENT, VANCOUVER, WA 98686-1448
(360) 418-6001
Mailing address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 571-3089
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1372T
OR
152W00000X
Optometrist
Primary
OD00001198
WA
Other
Enumeration date
08/16/2006
Last updated
07/11/2007
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