Greater Portland Neurosurgical Center, Pc

NPI 1033451265 - Neurological Surgery - 207T00000X

NPI Details
NPI 1033451265
Enumeration Date 03/26/2013
Last Updated 08/15/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JULIO JULIO
Position OWNER
Phone (503) 665-5522
Fax (503) 665-8822
Practice Location
24900 SE STARK ST STE 209
GRESHAM OR, 97030-3382, US
Phone (503) 665-5522
Fax (503) 665-8822
Business Location
24900 SE STARK ST STE 209
GRESHAM OR, 97030-3382, US
Phone (503) 665-5522
Fax (503) 665-8822
Toxanomy
Taxonomy Code 207T00000X
License State Oregon
License Number MD11164
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According to our database, Greater Portland Neurosurgical Center, Pc NPI is 1033451265, taxonomy code is 207T00000X and license number is MD11164, license state is located at Oregon. Greater Portland Neurosurgical Center, Pc physically located at 24900 Se Stark St Ste 209, Gresham OR, 97030-3382. NPI Number 1033115704 has the healthcare provider type.

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1033451265 NPI number is provided on an as is basis without warranty of any kind. 1033451265 is maintained by the National Plan & Provider Enumeration System. The contents of Greater Portland Neurosurgical Center, Pc are for informational purposes only.