Individual provider · Type 1 NPI

Stephen Arthur Back, MD

Neurology with Special Qualifications in Child Neurology Physician · Portland, OR

NPI number 1356358287 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Mailing address

20 Grouse Ter
Lake Oswego, OR 97035-1014

Specialties and licenses

TaxonomyCodeLicense
Neurology with Special Qualifications in Child Neurology Physician Primary 2084N0402XMD21910 (OR)

Neurology with Special Qualifications in Child Neurology Physician: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

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About NPI 1356358287

Stephen Arthur Back, MD's National Provider Identifier is 1356358287, issued on Aug 2, 2006. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.