Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JORDAN DAVID BROWN, D.O.
Deactivated Sole ProprietorDR. JORDAN DAVID BROWN, D.O. is a Vision Therapy Optometrist healthcare provider located in SALEM, Oregon. NPI 1083613848 is deactivated in the NPPES registry. Verify at CMS.
Vision Therapy Optometrist · SALEM, OR
This NPI has been deactivated.
The record was deactivated on March 17, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1083613848
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2005 (0.67397260273973 yrs)
- Last Updated
- Nov 8, 2007
- Deactivated
- Mar 17, 2006
- License
-
1515 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1097 LIBERTY ST SESALEM, OR, 973024140Browse OR providers · Browse ZIP 97302
- Phone
- 5035814411
- Fax
- 5035814411
- Primary Specialty
-
Vision Therapy Optometrist
152WV0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.