Individual
JACQUELINE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 NE 8TH ST STE 300, GRESHAM, OR 97030-7318
(503) 494-3633
Mailing address
600 NE 8TH ST STE 300, GRESHAM, OR 97030-7318
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
390200000X
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
390200000X
OR
Other
Enumeration date
09/07/2022
Last updated
03/18/2026
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