# NORTHWEST NEUROLOGICAL SPECIALISTS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538191606
- **Authorized official:** DR. DEBORAH SYNA MD (PRESIDENT)
- **Authorized official phone:** (503) 291-1422

## Contact information

- **Practice address:** 1585 SW MARLOW AVE STE 110, PORTLAND, OR 97225-5177
- **Practice address phone:** (503) 291-1422
- **Practice address fax:** (503) 297-8129
- **Mailing address:** PO BOX 23200, PORTLAND, OR 97281-3200
- **Mailing address phone:** (503) 291-1422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 05/23/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 023516 | — | OR |
| 05 | — | 274204 | — | OR |
| 01 | — | DD4620 | RAILROAD MEDICARE | OR |