Provider Demographics
NPI:1114151164
Name:BROWN, TEAH LYNN (DC, LMT)
Entity Type:Individual
Prefix:DR
First Name:TEAH
Middle Name:LYNN
Last Name:BROWN
Suffix:
Gender:F
Credentials:DC, LMT
Other - Prefix:
Other - First Name:TEAH
Other - Middle Name:LYNN
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC, LMT
Mailing Address - Street 1:51669 COLUMBIA RIVER HWY
Mailing Address - Street 2:SUITE 130
Mailing Address - City:SCAPPOOSE
Mailing Address - State:OR
Mailing Address - Zip Code:97056-4508
Mailing Address - Country:US
Mailing Address - Phone:503-987-1696
Mailing Address - Fax:503-208-7202
Practice Address - Street 1:51669 COLUMBIA RIVER HWY
Practice Address - Street 2:SUITE 130
Practice Address - City:SCAPPOOSE
Practice Address - State:OR
Practice Address - Zip Code:97056-4508
Practice Address - Country:US
Practice Address - Phone:503-987-1696
Practice Address - Fax:503-208-7202
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-05
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4092111N00000X, 111N00000X
OR10565225700000X
NYX011651-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist