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WILLAMETTE VALLEY IOM LLC NPI 1518322585


NPI Information

NPI: 1518322585
Provider Name: WILLAMETTE VALLEY IOM, LLC
Classification: Psychiatry & Neurology - 2084N0600X
Entity Type: Organization

Specialization: Clinical Neurophysiology

Address:
818 SW 3RD AVE # 113
PORTLAND, OR
ZIP 97204
Phone: (971) 256-3556
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WILLAMETTE VALLEY IOM, LLC is a clinical neurophysiology psychiatry neurology in Portland, OR. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). WILLAMETTE VALLEY IOM, LLC NPI is 1518322585. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

818 SW 3RD AVE # 113
PORTLAND, OR
ZIP 97204-405
Phone: (971) 256-3556

The provider's authorized official is Francisco Soldevilla .
The authorized official title is Managing Member and has the following contact phone number (971) 256-3556.

The enumeration date for this NPI number is 12/17/2015 and was last updated on 11/15/2016.


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
1204R00000XElectrodiagnostic MedicineNo
22084N0400XPsychiatry & NeurologyNeurologyNo
3246ZE0600XSpecialist/Technologist, OtherElectroneurodiagnosticNo
42084N0600XPsychiatry & NeurologyClinical NeurophysiologyYes

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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