NPI 1114174612 · live from the CMS NPI Registry
Wayne David Brown, Aud
Audiologist in Portland, OR. National Provider Identifier 1114174612, active.
NPI record
| NPI | 1114174612 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 5050 Ne Hoyt St, Suite 655, Portland, OR 97213 |
| Practice phone | 503-488-2400 |
| Mailing address | 847 Ne 19th Ave, Suite 300, Portland, OR 97232 |
| Enumerated | August 26, 2008 |
| Last updated | November 20, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 21268 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.