Individual
GERALD BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(503) 535-3800
Mailing address
5175 SW 26TH DR, PORTLAND, OR 97239-1230
(502) 408-0315
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
A15175
OR
Other
Enumeration date
02/05/2024
Last updated
10/02/2024
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