Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | MD00027055 | WA |
NPI | 1144228750 |
---|---|
Provider Name | Alan Burchard Brown |
First Address | Portland, OR 97228-5845 |
Second Address | Bellevue, WA 98004-3807 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2005 |
Last Update Date | 12/07/2019 |