Individual
NICHOLAS ROBERT BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-5111
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PG154659
OR
208M00000X
Hospitalist Physician
Primary
DO166872
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500672522
—
OR
Enumeration date
06/27/2011
Last updated
11/05/2020
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