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Contact Information

NW NEUROPHYSIOLOGY CONSULTANTS
7734 N FOWLER AVE
PORTLAND, OR97217-5931
 Phone: 503-724-9725
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for NW NEUROPHYSIOLOGY CONSULTANTS · (Female)

NPI Number 1255680054
Status Active
Credentials
Entity Individual
Enumeration date 09/07/2012
Last updated 09/07/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR License # MD28304
  • WA License # MD60170989
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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