Brown, Eric R
Brown, Eric R is an individual health care provider with primary practice located at 1320 Ne 106Th Ave , Portland OR 97220-3966. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brown, Eric R can be contacted via phone (503) 908-2020.Contact Information
Primary practice address
1320 Ne 106Th Ave
Portland OR 97220-3966
Phone: (503) 908-2020
Fax: (503) 908-2028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2799AT | Oregon |
Profile Details
| NPI number | 1639171135 |
|---|---|
| LBN Legal business name | Brown, Eric R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | May 31st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639171135 | NPPES |
| Oregon | MEDICAID | 229353 |
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