Brown, Amy

Brown, Amy is an sole proprietor health care provider with primary practice located at 625 Nw 17Th Ave , Portland OR 97209-2209. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Other Service Providers / Health Educator. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Brown, Amy can be contacted via phone (503) 980-5712.

Contact Information

Primary practice address
625 Nw 17Th Ave Portland OR 97209-2209
Phone: (503) 980-5712
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Other Service Providers / Health Educator 174H00000X 19726 Oregon

Profile Details

NPI number 1801906540
LBN Legal business name Brown, Amy
Credentials LMT, PTA, CSCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Oct 21st, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801906540 NPPES
Oregon Other 8072 LICENSE #
Oregon Other 19726 LICENSE #
Oregon Other 8072 LICENSE #
Oregon Other 7247825326 LICENSE #

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