Provider Demographics
NPI:1881071009
Name:BROWN, STEPHEN HUTCHINS (ND)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:HUTCHINS
Last Name:BROWN
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 OHIO AVE NE
Mailing Address - Street 2:
Mailing Address - City:BANDON
Mailing Address - State:OR
Mailing Address - Zip Code:97411-6333
Mailing Address - Country:US
Mailing Address - Phone:541-347-4124
Mailing Address - Fax:
Practice Address - Street 1:803 OHIO AVE NE
Practice Address - Street 2:
Practice Address - City:BANDON
Practice Address - State:OR
Practice Address - Zip Code:97411-6333
Practice Address - Country:US
Practice Address - Phone:541-347-4124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-27
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR558261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care