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EAST PORTLAND NEUROLOGY CLINIC PC NPI 1285834135


NPI Information

NPI: 1285834135
Provider Name: EAST PORTLAND NEUROLOGY CLINIC PC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
10101 SE MAIN ST
SUITE 2004
PORTLAND, OR
ZIP 97216
Phone: (503) 256-3034
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EAST PORTLAND NEUROLOGY CLINIC PC is a neurology psychiatry neurology in Portland, 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. EAST PORTLAND NEUROLOGY CLINIC PC NPI is 1285834135. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10101 SE MAIN ST
SUITE 2004
PORTLAND, OR
ZIP 97216-468
Phone: (503) 256-3034
Fax: (503) 256-3055

The provider's authorized official is Howard Scott Taylor .
The authorized official title is Owner/doctor and has the following contact phone number (503) 256-3034.

The enumeration date for this NPI number is 7/19/2007 and was last updated on 9/5/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1268003MEDICAIDOREGON

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: 4/28/2024

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