Basic Information
Provider Information
NPI: 1346415056
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BROWNING
FirstName: RICHARD
MiddleName: J
NamePrefix:  
NameSuffix:  
Credential: PMHNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1255 PEARL ST
Address2: SUITE 102
City: EUGENE
State: OR
PostalCode: 974013570
CountryCode: US
TelephoneNumber: 5416876983
FaxNumber: 5416872063
Practice Location
Address1: 1255 PEARL ST
Address2: SUITE 102
City: EUGENE
State: OR
PostalCode: 974013570
CountryCode: US
TelephoneNumber: 5416876983
FaxNumber: 5416872063
Other Information
ProviderEnumerationDate: 04/23/2008
LastUpdateDate: 07/13/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808X200450009NP-PPORY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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