Provider Demographics
NPI:1508215088
Name:BROWN, VALERIE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 E HISTORIC COLUMBIA RIVER HWY APT 5
Mailing Address - Street 2:
Mailing Address - City:TROUTDALE
Mailing Address - State:OR
Mailing Address - Zip Code:97060-2189
Mailing Address - Country:US
Mailing Address - Phone:970-222-0783
Mailing Address - Fax:
Practice Address - Street 1:840 E HISTORIC COLUMBIA RIVER HWY APT 5
Practice Address - Street 2:
Practice Address - City:TROUTDALE
Practice Address - State:OR
Practice Address - Zip Code:97060-2189
Practice Address - Country:US
Practice Address - Phone:970-222-0783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-06
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR61730225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist