Organization
PACIFIC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J BROWN PHD (PHD/OWNER)
(808) 822-5881
Entity
Organization
Contact information
Practice address
4566 OHIA ST, KAPAA, HI 96746-1646
(808) 822-5881
(808) 823-6535
Mailing address
4-1191 KUHIO HWY, #289, KAPAA, HI 96746-1674
(808) 822-5881
(808) 823-6535
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-433
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06530601
—
HI
Enumeration date
07/20/2007
Last updated
07/20/2007
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