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Contact Information

JACQUELINE E BROWN, PA
2450 SW PERKINS AVE
PENDLETON, OR97801
 Phone: 541-276-1700
 Fax: 541-276-6327
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JACQUELINE E BROWN · (Female)

NPI # 1417390949
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 04/15/2013
Last updated 09/06/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OR License # PA170722
Hospital affiliation(s)
  • ST ANTHONY HOSPITAL - (Critical Access)
    2801 ST ANTHONY WAY
    PENDLETON, OR 97801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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