Provider Demographics
NPI:1154576577
Name:BROWNE, TAMMY M (LMP)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:M
Last Name:BROWNE
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 VANDERCOOK WAY
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:98632-4050
Mailing Address - Country:US
Mailing Address - Phone:360-575-8897
Mailing Address - Fax:360-575-8898
Practice Address - Street 1:755 VANDERCOOK WAY
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632-4050
Practice Address - Country:US
Practice Address - Phone:360-575-8897
Practice Address - Fax:360-575-8898
Is Sole Proprietor?:No
Enumeration Date:2008-11-26
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00023723174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist