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Contact Information

WILLAMETTE VALLEY IOM, LLC
818 SW 3RD AVE # 113
PORTLAND, OR97204-2405
 Phone: 971-256-3556
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Electrodiagnostic Medicine

204R00000X
 

Electroneurodiagnostic

246ZE0600X
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for WILLAMETTE VALLEY IOM LLC · (Female)

NPI # 1518322585
Status Active
Credentials
Entity Individual
Enumeration date 12/17/2015
Last updated 11/15/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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