Individual
ANTONIO DREVEL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4840 SAN GABRIEL CT NE, SALEM, OR 97305-2640
(503) 931-2701
Mailing address
4840 SAN GABRIEL CT NE, SALEM, OR 97305-2640
(503) 931-2701
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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