institution
West Portland Neurology, L.l.c.
Medical Specialty Clinic/Center in Portland, Oregon
NPI 1588966857

West Portland Neurology, L.l.c. is a Medical Specialty Clinic/Center based in Portland, OR and is specialized in Medical Specialty. West Portland Neurology, L.l.c. practices in Portland, OR. The NPI Number for West Portland Neurology, L.l.c. is 1588966857 and holds a License No. (Oregon).

The current practice location address for West Portland Neurology, L.l.c. is 1040 Nw 22Nd Ave, Portland, OR and can be reached out via phone at 503-954-1566 and via fax at 503-796-2742.

Location: 1040 Nw 22Nd Ave, Portland, OR, 97210-3057
institution
Provider Profile Details
NPI Number
1588966857
Provider Name
West Portland Neurology, L.l.c.
Credential
Provider Entity Type
Organization
Address
1040 Nw 22Nd Ave, Portland, OR, 97210-3057
Phone Number
503-954-1566
Fax Number
503-796-2742
Provider Enumeration Date
11/18/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1017284 05 WA
012360000 01 OR REGENCE BLUE CROSS
025671 05 OR
institution
Provider Business Practice Location Address Details
Address
1040 Nw 22Nd Ave
City
State
Zip
97210-3057
Phone Number
503-954-1566
Fax Number
503-796-2742
person
Provider Business Mailing Address Details
Address
1040 Nw 22Nd Ave
City
State
Zip
97210-3057
Phone Number
503-954-1566
Fax Number
503-796-2742
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
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Definition
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).
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