Individual
DEAN RANDOLPH BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
650 E PINE ST, STE 105, CENTRAL POINT, OR 97502-2482
(541) 664-5535
(541) 664-7745
Mailing address
650 E PINE ST, STE 105, CENTRAL POINT, OR 97502-2482
(541) 664-5535
(541) 664-7745
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2302ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029715
—
OR
01
—
807295000
REGENCE BLUE CROSS
OR
Enumeration date
06/24/2005
Last updated
09/10/2009
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