Individual
MR. DANIEL A BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
236 E NEWPORT AVE, HERMISTON, OR 97838-2449
(541) 567-1137
(541) 567-2336
Mailing address
236 E NEWPORT AVE, HERMISTON, OR 97838-2449
(541) 567-1137
(541) 567-2336
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA151128
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080385000
BLUE CROSS BLUE SHIELD
OR
05
—
223149
—
OR
01
—
OR1807
HEALTH NET
OR
Enumeration date
04/05/2010
Last updated
04/05/2010
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