Providence Neurological Specialties Ppmc is a Neurology Clinic in Portland, Oregon. It is located at 4805 Ne Glisan St, Suite 6n50, Portland, OR and its contact number is 503-216-1150. The authorized person for Providence Neurological Specialties Ppmc is Keenan B Freeman
who is Cfo of the clinic and his/her contact number is 503-593-6524. Providence Neurological Specialties Ppmc Clinic 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.
Complete Clinic Profile:
Providence Neurological Specialties Ppmc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Providence Neurological Specialties Ppmc
Specialization:
Neurology
Clinic Address:
4805 Ne Glisan St, Suite 6n50, Portland, Oregon, 97213-2933
Phone:
503-216-1150
Fax:
503-216-1066
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Keenan B Freeman
Position:
Cfo
Contact Number:
503-593-6524
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Providence Neurological Specialties Ppmc clinic are as mentioned below.
NPI Number:
1336311554
NPI Enumeration Date:
27 Mar, 2008
NPI Last Update On:
10 Sep, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Neurological Specialties Ppmc are as mentioned below.
Specialization
License Number
State
Status
Clinic/center
Primary
Neurology
Secondary
Adult Health
Secondary
Family
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
279129
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Providence Neurological Specialties Ppmc Po Box 3158, Portland, Oregon
Zip:
97208-3158
Phone Number:
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Fax Number:
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Patients can reach Providence Neurological Specialties Ppmc at 4805 Ne Glisan St, Suite 6n50, Portland, Oregon or can call to book an appointment on 503-216-1150. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.