Individual
TABITHA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 SE MARLIN AVE, WARRENTON, OR 97146-9624
(503) 325-5722
Mailing address
326 SE MARLIN AVE, WARRENTON, OR 97146-9624
(503) 325-5722
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
07/18/2016
Last updated
10/02/2018
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