Individual
MISS KRISTLE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7101 NE 137TH AVE, VANCOUVER, WA 98682-4933
(800) 813-2000
Mailing address
6015 N INTERSTATE AVE APT 441, PORTLAND, OR 97217-4792
(860) 539-7323
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.PA.61106604
WA
Other
Enumeration date
09/17/2019
Last updated
11/16/2020
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