Individual
MR. ANDREW SHIELDS BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10000 SE MAIN ST STE 365, PORTLAND, OR 97216-2474
(503) 261-4430
(503) 261-4436
Mailing address
10000 SE MAIN ST STE 365, PORTLAND, OR 97216-2474
(503) 261-4430
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110008975
VA
363A00000X
Physician Assistant
055-0031643
VT
363A00000X
Physician Assistant
PA60485019
WA
363A00000X
Physician Assistant
PA662
WY
363AS0400X
Surgical Physician Assistant
Primary
PA213593
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
07/16/2013
Last updated
05/15/2024
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