Provider Demographics
NPI:1598344897
Name:BROWN, MICHAEL HADLEY JR (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:HADLEY
Last Name:BROWN
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1959 NE PACIFIC ST BOX 357470
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-7470
Mailing Address - Country:US
Mailing Address - Phone:206-543-1140
Mailing Address - Fax:206-598-4928
Practice Address - Street 1:1959 NE PACIFIC ST HEALTH SCIENCES CENTER ROOM C-516
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-0001
Practice Address - Country:US
Practice Address - Phone:206-543-1140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program