WELLER NEUROLOGY LLC NPI 1659891455

NPI Information

  • NPI: 1659891455
  • Provider Name: WELLER NEUROLOGY LLC
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 24900 SE STARK ST STE 211
    GRESHAM, OR
    ZIP 97030
  • Phone: (503) 669-0435

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NPI Details

WELLER NEUROLOGY LLC is a neurology psychiatry neurology in Gresham, 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. WELLER NEUROLOGY LLC NPI is 1659891455. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

24900 SE STARK ST STE 211
GRESHAM, OR
ZIP 97030-382
Phone: (503) 669-0435
Fax: (503) 618-1859

The provider's authorized official is Kirk L Weller .
The authorized official title is Owner and has the following contact phone number (503) 669-0453.

The enumeration date for this NPI number is 6/22/2017 and was last updated on 7/21/2022.

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
12084N0400XPsychiatry & NeurologyNeurologyMD17310OREGONYes

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: 11/21/2025

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