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Organization
NORTHWEST NEUROLOGICAL SPECIALISTS PC
Active
Organization
NORTHWEST NEUROLOGICAL SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH SYNA MD (PRESIDENT)
(503) 291-1422
Entity
Organization
Contact information
Practice address
1585 SW MARLOW AVE STE 110, PORTLAND, OR 97225-5177
(503) 291-1422
(503) 297-8129
Mailing address
PO BOX 23200, PORTLAND, OR 97281-3200
(503) 291-1422
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023516
—
OR
05
—
274204
—
OR
01
—
DD4620
RAILROAD MEDICARE
OR
Enumeration date
07/07/2006
Last updated
05/23/2011
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