SPECIALTY NEURO P.C. NPI 1962543256

NPI Information

  • NPI: 1962543256
  • Provider Name: SPECIALTY NEURO, P.C.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 1800 NE 2ND AVE
    PORTLAND, OR
    ZIP 97212
  • Phone: (503) 579-5000

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NPI Details

SPECIALTY NEURO, P.C. is a specialist in Portland, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SPECIALTY NEURO, P.C. NPI is 1962543256. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1800 NE 2ND AVE
PORTLAND, OR
ZIP 97212-932
Phone: (503) 579-5000
Fax: (503) 579-5000

The provider's authorized official is David Alan Siker .
The authorized official title is Physician Director and has the following contact phone number (503) 579-5000.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 11/21/2007.

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
1174400000XSpecialistMD22182OREGONYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R130935MEDICARE PINOREGON
2G66450MEDICARE UPIN
3286534MEDICAIDOREGON

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

NPI Synchronization or Removal

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