Doctor Name: | DR. STEPHEN HUTCHINS BROWN |
NPI Number: | 1881071009 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ND |
License Number: | 558 |
Business Practice Address: | 803 Ohio Ave Ne Bandon, OR - 974116333 |
Business Phone Number: | 5413474124 |
Business Fax Number: | |
Mailing Address: | 803 Ohio Ave Ne, BANDON |
State: | OR |
Postal Code: | 974116333 |
Phone Number: | 5413474124 |
Fax Number: | |
NPI Enumeration Date: | 04/27/2015 |
NPI Last Update Date: | 04/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 558 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |