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Individual

MR. ANTHONY BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 674-4782
Mailing address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 674-4782

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
086006799RN
OR
363LF0000X
Family Nurse Practitioner
Primary
200850129NP-PP
OR

Other

Enumeration date
08/25/2007
Last updated
08/26/2015
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