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David C Neely II
Developmental Disabilities Clinic/Center in Sublimity, Oregon
NPI 1083361877

David C Neely II is a Developmental Disabilities Clinic/Center based in Sublimity, OR and is specialized in Developmental Disabilities. David C Neely II practices in Sublimity, OR. The NPI Number for David C Neely II is 1083361877 and holds a License No. (Oregon).

The current practice location address for David C Neely II is 120 Ne Broadway St, Sublimity, OR and can be reached out via phone at 971-218-0871.

Location: 120 Ne Broadway St, Sublimity, OR, 97385-9505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083361877
Provider Name
David C Neely II
Credential
Provider Entity Type
Individual
Gender
Male
Address
120 Ne Broadway St, Sublimity, OR, 97385-9505
Phone Number
971-218-0871
Fax Number
Provider Enumeration Date
03/02/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DZ742290 05 OR
institution
Provider Business Practice Location Address Details
Address
120 Ne Broadway St
City
Sublimity
State
Oregon
Zip
97385-9505
Phone Number
971-218-0871
Fax Number
person
Provider Business Mailing Address Details
Address
120 Ne Broadway St
City
Sublimity
State
Oregon
Zip
97385-9505
Phone Number
971-218-0871
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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