Individual
SAVANA MARISA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
520 MEDICAL CENTER DR STE 300, MEDFORD, OR 97504-4316
(541) 930-8907
(541) 245-4820
Mailing address
520 MEDICAL CENTER DR STE 300, MEDFORD, OR 97504-4316
(541) 930-8907
(541) 245-4820
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA190601
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500758357
—
OR
Enumeration date
11/14/2017
Last updated
07/06/2021
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