| Mary Kathryn Brown, MD | |
|
9290 Se Sunnybrook Blvd, Suite 200, Clackamas, OR 97015-6899 | |
| (503) 659-1694 | |
| (503) 659-8984 |
| Full Name | Mary Kathryn Brown |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 9290 Se Sunnybrook Blvd, Clackamas, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073559704 | NPI | - | NPPES |
| 278134 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD26080 (Oregon) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | Santa Rosa Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578631172 PECOS PAC ID: 0345130423 Enrollment ID: O20040319001444 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Kathryn Brown, MD 9290 Se Sunnybrook Blvd, Suite 200, Clackamas, OR 97015-6899 Ph: (503) 659-1694 | Mary Kathryn Brown, MD 9290 Se Sunnybrook Blvd, Suite 200, Clackamas, OR 97015-6899 Ph: (503) 659-1694 |
Pooja Banginwar, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8645 Se Sunnybrook Blvd Ste 200, Clackamas, OR 97015 Phone: 503-659-1694 Fax: 503-659-8984 | |
Jay Joo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9800 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000 | |
Dr. Bonnie Jean Aust, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Kaiser Sunnyside Medical Office, Clackamas, OR 97015 Phone: 503-652-2880 | |
Dr. Patricia Theresa Campbell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9800 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-3418 | |
Dr. Tracy Jeanne Peck, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000 Fax: 503-571-3418 | |
Nancy Tran Chen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8645 Se Sunnybrook Blvd Ste 200, Clackamas, OR 97015 Phone: 503-659-1694 Fax: 503-659-8984 |