NPI 1760823900 · live from the CMS NPI Registry
Andrew Shields Brown, PA-C
Physician Assistant, Surgical in Portland, OR. National Provider Identifier 1760823900, active.
NPI record
| NPI | 1760823900 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 10000 Se Main St Ste 365, Portland, OR 97216 |
| Practice phone | 503-261-4430 |
| Enumerated | July 16, 2013 |
| Last updated | May 15, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 055-0031643 (VT) |
| Physician Assistant | 363A00000X | PA662 (WY) |
| Physician Assistant | 363A00000X | PA60485019 (WA) |
| Physician Assistant | 363A00000X | 0110008975 (VA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — (WA) |
| Physician Assistant, Surgical primary | 363AS0400X | PA213593 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.