Brown, Wayne David

Brown, Wayne David is an individual health care provider with primary practice located at 5050 Ne Hoyt St Suite 655, Portland OR 97213-2991. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Brown, Wayne David can be contacted via phone (503) 488-2400.

Contact Information

Primary practice address
5050 Ne Hoyt St Suite 655 Portland OR 97213-2991
Fax: (503) 231-0121
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 21268 Oregon

Profile Details

NPI number 1114174612
LBN Legal business name Brown, Wayne David
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2008
Last updated Nov 20th, 2012 - about 13 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 1114174612 NPPES
Washington MEDICAID 1114174612
Washington MEDICAID 131743

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