Provider Demographics
NPI:1194355099
Name:BROWN, NICHOLAS RYAN (DC, MS)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:RYAN
Last Name:BROWN
Suffix:
Gender:M
Credentials:DC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2704 DELTA OAKS DR
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97408-1740
Mailing Address - Country:US
Mailing Address - Phone:541-484-0360
Mailing Address - Fax:541-484-9036
Practice Address - Street 1:2704 DELTA OAKS DR
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97408-1740
Practice Address - Country:US
Practice Address - Phone:541-484-0360
Practice Address - Fax:541-484-9036
Is Sole Proprietor?:No
Enumeration Date:2020-01-19
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR6055111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor