Provider Demographics
NPI:1407269251
Name:BROWN, SCOTT AARON (DC)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:AARON
Last Name:BROWN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46768 BAKER LOOP RD
Mailing Address - Street 2:
Mailing Address - City:CONCRETE
Mailing Address - State:WA
Mailing Address - Zip Code:98237-9561
Mailing Address - Country:US
Mailing Address - Phone:360-428-0304
Mailing Address - Fax:360-428-0968
Practice Address - Street 1:1600 ROOSEVELT AVENUE
Practice Address - Street 2:SUITE A
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273
Practice Address - Country:US
Practice Address - Phone:360-428-0304
Practice Address - Fax:360-428-0968
Is Sole Proprietor?:No
Enumeration Date:2014-06-10
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60429420111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor