Jordan David Brown D.O.

NPI 1083613848 - Optometrist - 152WV0400X

NPI Details
NPI 1083613848
Gender Male
Enumeration Date 07/14/2005
Last Updated 11/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1097 LIBERTY ST SE
SALEM OR, 97302-4140, US
Phone (503) 581-4411
Fax (503) 581-4411
Business Location
4165 ANDREA DR NW
SALEM OR, 97304-3339, US
Phone (503) 581-4411
Fax (503) 581-2241
Toxanomy
Taxonomy Code 152WV0400X
License State Oregon
License Number 1515
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According to our database, Dr. Jordan David Brown D.O. NPI is 1083613848, taxonomy code is 152WV0400X and license number is 1515, license state is located at Oregon. Jordan David Brown D.O. physically located at 1097 Liberty St Se, Salem OR, 97302-4140. NPI Number Jordan David Brown D.O. has the Individual type.

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1083613848 NPI number is provided on an as is basis without warranty of any kind. 1083613848 is maintained by the National Plan & Provider Enumeration System. The contents of Jordan David Brown D.O. are for informational purposes only.