Individual
MR. BRANDON WILLIAM BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1988 SE LADD AVE, PORTLAND, OR 97214-4737
(503) 902-1099
Mailing address
2820 SE 47TH AVE, PORTLAND, OR 97206-1506
(503) 902-1099
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC152714
OR
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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