RICHARD WILLIS BROWN (NPI# 1104039346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104039346 |
Entity Type | Individual |
Full Name | RICHARD WILLIS BROWN |
Credential | LCSW |
Practice Address |
2200 E Ellendale Ave Dallas OR 97338-9353 |
Practice Telephone | 5036235588 |
Practice Fax Number | 5036234729 |
Mailing Telephone | 5036235588 |
Mailing Fax Number | 5036234729 |
Enumeration Date | 2007-05-07 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
806 | OR | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902254238 | Richard Anthony Brown | Registered Nurse | 16 Linden Ct, Roslyn Heights, NY 11577-1362 | 2016-05-26 |
1174871511 | Richard Brown | Technician | 931 Juanita Way, Central Point, OR 97502-2883 | 2012-08-15 |
1083997712 | Richard Cyril Lancelot Brown | Dentist | 721 Burnt Mills Ct, Silver Spring, MD 20901-1437 | 2011-09-20 |
1740502806 | Richard Lowell Brown | Specialist/Technologist | 2312 Pueblo Dr, Kingman, AZ 86401-7369 | 2010-02-17 |
1487986287 | Richard Davis Brown | Family Medicine | 128 Kirwans Landing Ln, Chester, MD 21619 | 2010-02-03 |
1033440169 | Richard Scott Brown | Counselor | 3001 5th St Ste 300, Metairie, LA 70002-1865 | 2010-01-29 |
1518291996 | Richard M Brown Jr. | Licensed Practical Nurse | 523 Jefferson St Apt A, Elmira, NY 14904-1620 | 2009-10-01 |
1124271358 | Richard L Brown | Chiropractor | 914-c Virginia Ave, Clarksville, VA 23927-0933 | 2008-10-31 |
1386820231 | Richard G Brown | Specialist/Technologist, Other | 11103 Sw Davies Rd, # 1101, Beaverton, OR 97007-8302 | 2008-01-10 |
1508059544 | Richard K Brown | Chiropractor | 513 E Oglethorpe Ave, Suite O, Savannah, GA 31401-4139 | 2007-08-23 |
Street Address |
2200 E ELLENDALE AVE |
City | DALLAS |
State | OR |
Zip Code | 97338-9353 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649396797 | Kimberly Marie Anderson | Social Worker | 2200 E Ellendale Ave, Dallas, OR 97338-9353 | 2007-03-21 |
1558663237 | Patrick F Hund | Counselor | 2200 E Ellendale Ave, Dallas, OR 97338-9353 | 2010-12-01 |
1619125820 | Brian Lee | Counselor | 2200 E Ellendale Ave, Dallas, OR 97338-9353 | 2008-08-29 |
1972716108 | Theresa Jean Valerio | Counselor | 2200 E Ellendale Ave, Dallas, OR 97338-9353 | 2007-05-07 |
1316150220 | Llama Taylor | Social Worker | 2200 E Ellendale Ave, Dallas, OR 97338-9353 | 2007-05-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164932042 | Stephanie Marie Renfro | Massage Therapist | 289 E Ellendale Ave #601, Dallas, OR 97338 | 2017-10-05 |
1588185953 | Herbert Starr Woodward IIi | Dentist | 201 Se Washington St, Dallas, OR 97338 | 2017-07-06 |
1851708077 | David Mooso | Pharmacist | 321 Nw Kings Valley Highway, Dallas, OR 97338 | 2014-07-21 |
1841615556 | Leslie Lytle | Counselor | 1020 Sw Maple St., Dallas, OR 97338 | 2014-03-04 |
1205265493 | Chung-fan Ni | Counselor | 182 S. W. Academy St., Academy Building, Dallas, OR 97338 | 2013-11-07 |
1215204300 | Ron Fritz | Counselor | 239 E. Ellendale, Suite 602, Dallas, OR 97338 | 2011-11-17 |
1235420167 | Deborah Kennedy | Counselor | 527 Ne Fern Ave, Dallas, OR 97338 | 2011-04-26 |
1821229774 | Chelsea Ruhoff Lee | Physician Assistant | 1000 Se Uglow Avenue, Flaming Medical Center, Dallas, OR 97338 | 2009-07-27 |
1013128560 | Larry J Vuylsteke | Social Worker | 182 S.w. Academy, Dallas, OR 97338 | 2007-05-25 |
1093926123 | Justin W Reed | Counselor | Academy Building, 182 S.w. Academy St. Suite 304, Dallas, OR 97338 | 2007-05-24 |
Find all providers in zip 97338 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891396313 | On Epiphany Lane, LLC | Counselor | 603 Munger Ave Ste 100, Dallas, TX 75202-1840 | 2020-11-02 |
1487253951 | Shanler Leigh Hoover | Counselor | 12800 Hillcrest Rd # A103, Dallas, TX 75230-1524 | 2020-10-25 |
1316546385 | Paola Guadalupe Garcia | Counselor | 8338 Midland Ln, Dallas, TX 75217-8850 | 2020-10-21 |
1447858378 | Theresa Lashonda Lucie Moody | Counselor | 3653 Briargrove Ln Apt 1036, Dallas, TX 75287-6155 | 2020-10-13 |
1609473693 | Donna Smith | Counselor | 3766 Seguin Dr, Dallas, TX 75220-6329 | 2020-10-03 |
1659978849 | Brian Williams | Counselor | 75 Log Cabin Dr Apt 821, Dallas, GA 30157-1689 | 2020-10-01 |
1285241349 | Nichole Gabrielle Brown | Counselor | 5045 Thunder Rd, Dallas, TX 75244-6546 | 2020-09-23 |
1366058588 | Vicki Smith-lockhart | Counselor | 4041 W Wheatland Rd Ste 106, Dallas, TX 75237-4060 | 2020-09-22 |
1881206928 | Angela Grace Leach | Counselor | 6511 Walnut Hill Ln, Dallas, TX 75230-5318 | 2020-08-19 |
1093324055 | Alita Rose Andrews | Counselor | 3905 Highgrove Dr, Dallas, TX 75220-3753 | 2020-07-27 |
Find all providers in DALLAS |
Please comment or provide details below to improve the information on RICHARD WILLIS BROWN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.