Organization

Providence Health & Services - Oregon

May also be knows as Providence Neurological Specialties - Epilepsy

Clinic/Center in Portland, OR(View on Map)

Legal Business Name

Providence Health & Services - Oregon

Also Known As

Providence Neurological Specialties - Epilepsy

NPI Number

1164735858

NPI Type

Organization

Enumeration Date

07/22/2010

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 3158
9155 SW BARNES RD

City

Portland
Portland

State

OR
OR

Postal Code

97208-3158
97225-6625

Country

US
US

Telephone Number

(503) 215-6494
(503) 216-1160

Authorized Official

Name

Mitchell Neyhart

Title or Position

CFO

Telephone Number

(503) 893-6524

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/02/2011

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