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NORTHWEST NEURO-OPHTHALMOLOGY LLC NPI 1619345683


NPI Information

NPI: 1619345683
Provider Name: NORTHWEST NEURO-OPHTHALMOLOGY LLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1585 SW MARLOW AVE
STE 110
PORTLAND, OR
ZIP 97225
Phone: (503) 291-1422
Get Directions

NORTHWEST NEURO-OPHTHALMOLOGY LLC 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. NORTHWEST NEURO-OPHTHALMOLOGY LLC NPI is 1619345683. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1585 SW MARLOW AVE
STE 110
PORTLAND, OR
ZIP 97225-176
Phone: (503) 291-1422
Fax: (503) 297-8129

The provider's authorized official is Robert Egan .
The authorized official title is Owner/member and has the following contact phone number (503) 291-1422.

The enumeration date for this NPI number is 9/9/2015 and was last updated on 10/28/2015.


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 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
1500693068MEDICAIDOREGON
2R0000WDBBNMEDICARE PINOREGON

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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