WEST PORTLAND NEUROLOGY L.L.C. NPI 1588966857

NPI Information

WEST PORTLAND NEUROLOGY, L.L.C. is a medical specialty clinic center in Portland, OR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). WEST PORTLAND NEUROLOGY, L.L.C. NPI is 1588966857. The provider is registered as an organization entity type.

The provider's business location address is:

1040 NW 22ND AVE
SUITE 630
PORTLAND, OR
ZIP 97210-057
Phone: (503) 954-1566
Fax: (503) 796-2742

The provider's authorized official is Jeffrey Josiah Brown .
The authorized official title is Physician/neurologist and has the following contact phone number (503) 954-1566.

The enumeration date for this NPI number is 11/18/2010 and was last updated on 2/1/2011.

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:

Other Identifiers

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

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