| NPI | 1295836765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MATHER BROWN Physician/Business Owner 503-257-6393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OR MD12786) |
| Additional Taxonomies | 207N00000X Dermatology |
| 207ND0900X Dermatology Dermatopathology | |
| 207NS0135X Dermatology Procedural Dermatology | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: OR MD12786) | |
| 207NS0135X Dermatology Procedural Dermatology (Licence: OR MD12786) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2009-12-17 |