Provider Demographics
NPI:1518719160
Name:BROWN, RHONDA KAY
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:KAY
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:288 SE DIMICK ST APT 14
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:OR
Mailing Address - Zip Code:97338-1686
Mailing Address - Country:US
Mailing Address - Phone:503-559-4575
Mailing Address - Fax:
Practice Address - Street 1:6200 POPLAR LN
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:OR
Practice Address - Zip Code:97351-9659
Practice Address - Country:US
Practice Address - Phone:503-559-4575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider