MR. Wyatt James Brown, C.PED.

NPI #1205976990 in Lake Oswego, Oregon

Provider Information

NPI Number: 1205976990
Entity Type: Individual
Name: MR. Wyatt James Brown, C.PED.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: C.PED.
Enumeration Date: Feb 8, 2007
Last Updated: Apr 3, 2012

Practice Location

Address: 16679 BOONES FERRY RD
Address 2: STE 215
City: Lake Oswego
State: Oregon
ZIP Code: 97035-4365
Phone: (503) 699-1911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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