Organization · Type 2 NPI

Providence Health & Services - Oregon

Neurology Physician · Portland, OR

NPI number 1336311554 Active

Practice location

4805 NE Glisan St, Suite 6N50
Portland, OR 97213-2933

Call (503) 216-1150 Map

Fax (503) 216-1066

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400XNone listed
Clinic/Center 261Q00000XNone listed
Adult Health Nurse Practitioner 363LA2200XNone listed
Family Nurse Practitioner 363LF0000XNone listed

Neurology Physician: 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.

323 other providers at this address

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About NPI 1336311554

Providence Health & Services - Oregon's National Provider Identifier is 1336311554, issued on Mar 27, 2008. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Portland, OR. The record was last updated on Jul 4, 2025.