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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. WYATT JAMES BROWN, C.PED.

Active

Specialist · LAKE OSWEGO, OR

Registration Details

NPI Number
1205976990
Provider Type
Individual
Gender
Male
NPI Issued
Feb 8, 2007 (19.221714116717 yrs)
Last Updated
Apr 3, 2012
License
0876099-5 (OR)

Practice Information

Address
16679 BOONES FERRY RD
STE 215
LAKE OSWEGO, OR, 970354365
Browse OR providers · Browse ZIP 97035
Phone
5036991911
Fax
5036991912
Primary Specialty
Specialist
174400000X

Other Specialist Providers in LAKE OSWEGO, OR

Name Credential NPI
DR. MARLA MARIE KLEIN M.D. 1912990664
GARETH AUBREY TABOR M.D. 1205866399
DR. JEFFREY TURNER M.D. 1205855913
MRS. JANICE CAROLE MODESITT L.M.T. 1992841555
MR. LEV VOLOD LMT 1720114051
LEE DAVID ROBINSON M.D. 1992832851
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.