OREGON NEUROLOGY PC NPI 1134159353

NPI Information

NPI: 1134159353
Provider Name: OREGON NEUROLOGY PC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
19260 SW 65TH AVENUE
#280
TUALATIN, OR
ZIP 97062
Phone: (503) 692-2850
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OREGON NEUROLOGY PC is a neurology psychiatry neurology in Tualatin, OR. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. OREGON NEUROLOGY PC NPI is 1134159353. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

19260 SW 65TH AVENUE
#280
TUALATIN, OR
ZIP 97062
Phone: (503) 692-2850
Fax: (503) 692-4465

The provider's authorized official is Todd R Devere .
The authorized official title is Secretary and has the following contact phone number (503) 692-2850.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 4/1/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R0000WDBBN	MEDICARE ID-TYPE UNSPECIFIED
2	269960	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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