Individual
AMELIA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
465 COMMERCIAL ST NE STE 150, SALEM, OR 97301-3414
(503) 362-2780
(503) 362-2768
Mailing address
PO BOX 20674, KEIZER, OR 97307-0674
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23-06020288
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23-06-20288
MHACBO
OR
01
—
T-20-458
MHACBO
OR
Enumeration date
07/07/2021
Last updated
10/23/2023
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