Individual
MICK ALLEN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
903 S ADAMS ST, RITZVILLE, WA 99169-2227
(509) 659-1200
Mailing address
1236 16TH ST, CLARKSTON, WA 99403-2984
(509) 295-1892
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP61006342
WA
363LF0000X
Family Nurse Practitioner
10063876
OR
363LF0000X
Family Nurse Practitioner
Primary
AP61006342
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14560262
CAQH
WA
05
—
2142549
—
WA
Enumeration date
09/30/2019
Last updated
07/30/2026
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