Most Relevant Information
Provider Data
| NPI Number: | 1003690215 |
| Provider Name: | JESSICA MICHELLE BROWN |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | AC216542 |
Most Important Dates
| Enumeration Date: | 08/21/2023 |
| Last Updated: | 03/27/2024 |
Provider Practice Location
11750 SW BARNES RD
PORTLAND
OR
972255911
Practice Location Phone/Fax
| Phone: | 5033896962 |
| Fax: |
Provider Mailing Location
1235 SE DIVISION ST STE 115
PORTLAND
OR
972021085
Provider Mailing Phone/Fax
| Phone: | 9546461925 |
| Fax: |