Individual provider · Type 1 NPI

Wyatt James Brown, C.PED.

Specialist · Lake Oswego, OR

NPI number 1205976990 Active

Practice location

16679 Boones Ferry Rd, Ste 215
Lake Oswego, OR 97035-4365

Call (503) 699-1911 Map

Fax (503) 699-1912

Mailing address

16679 Boones Ferry Rd Ste 215
Lake Oswego, OR 97035-4368

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X0876099-5 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5 other providers at this address

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About NPI 1205976990

Wyatt James Brown, C.PED.'s National Provider Identifier is 1205976990, issued on Feb 8, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lake Oswego, OR. The record was last updated on Apr 3, 2012.