Individual
DR. JACOB BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
142 SW 2ND ST, CORVALLIS, OR 97333-4716
(541) 360-7004
Mailing address
142 SW 2ND ST, CORVALLIS, OR 97333-4716
(541) 360-7004
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10869
OR
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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