Individual
AMANDA L BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
THW000111579
Contact information
Practice address
129 9TH ST, SPRINGFIELD, OR 97477-4702
(541) 343-7688
Mailing address
129 9TH ST, SPRINGFIELD, OR 97477-4702
(541) 343-7688
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000111579
OR
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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