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
Phone: (503) 488-2400
Fax: (503) 231-0121
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114174612 | NPPES |
Washington | MEDICAID | 1114174612 | |
Washington | MEDICAID | 131743 |
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