Brown, Greg W

Brown, Greg W is an individual health care provider with primary practice located at 445 E Main St , Hillsboro OR 97123-4084. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Brown, Greg W can be contacted via phone (503) 640-2757.

Contact Information

Primary practice address
445 E Main St Hillsboro OR 97123-4084
Fax: (503) 640-9753
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD19888 Oregon

Profile Details

NPI number 1114914728
LBN Legal business name Brown, Greg W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Apr 11th, 2013 - about 11 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 1114914728 NPPES
Other R163533 PTAN
MEDICAID 081856 PTAN
Other 023873001 PTAN
Other 3460807 PTAN

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