Provider Demographics
NPI:1578835609
Name:BROWNE, JEFFRY L (RRT)
Entity Type:Individual
Prefix:
First Name:JEFFRY
Middle Name:L
Last Name:BROWNE
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4320 SE 113TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97266-2231
Mailing Address - Country:US
Mailing Address - Phone:503-781-8534
Mailing Address - Fax:
Practice Address - Street 1:4320 SE 113TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97266-2231
Practice Address - Country:US
Practice Address - Phone:503-781-8534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-06
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1092279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR109OtherOREGON RESPIRATORY CARE PRACTITIONER