Brown, Mary Kathryn

Brown, Mary Kathryn is an individual health care provider with primary practice located at 9290 Se Sunnybrook Blvd Suite 200, Clackamas OR 97015-6899. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Brown, Mary Kathryn can be contacted via phone (503) 659-1694.

Contact Information

Primary practice address
9290 Se Sunnybrook Blvd Suite 200 Clackamas OR 97015-6899
Fax: (503) 659-8984
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD26080 Oregon

Profile Details

NPI number 1073559704
LBN Legal business name Brown, Mary Kathryn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Dec 20th, 2021 - about 3 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 1073559704 NPPES
Oregon MEDICAID 278134

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