Basic Information
| Provider Information | |||||||||
| NPI: | 1184895898 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BROWN | ||||||||
| FirstName: | MARAYA | ||||||||
| MiddleName: | KASOTA | ||||||||
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| Credential: | CNM, MSN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2678 TAKELMA WAY | ||||||||
| Address2: | |||||||||
| City: | ASHLAND | ||||||||
| State: | OR | ||||||||
| PostalCode: | 975208612 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8089871082 | ||||||||
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| Practice Location | |||||||||
| Address1: | 148 E HERSEY ST | ||||||||
| Address2: | |||||||||
| City: | ASHLAND | ||||||||
| State: | OR | ||||||||
| PostalCode: | 975201359 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5415521111 | ||||||||
| FaxNumber: | 5414829066 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/20/2008 | ||||||||
| LastUpdateDate: | 08/28/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367A00000X | 201500851NP-PP | OR | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.