Individual
TARA ANNE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1460 G ST, SPRINGFIELD, OR 97477-4112
(541) 726-8400
Mailing address
1415 FLINTRIDGE AVE, EUGENE, OR 97401-6513
(541) 654-1203
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
201604813RN
OR
164W00000X
Licensed Practical Nurse
201130236LPN
OR
Other
Enumeration date
09/02/2012
Last updated
06/03/2019
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