# WEST PORTLAND NEUROLOGY, L.L.C.

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

## Provider details

- **NPI number:** 1588966857
- **Authorized official:** DR. JEFFREY JOSIAH BROWN M.D., PH.D. (PHYSICIAN/NEUROLOGIST)
- **Authorized official phone:** (503) 954-1566

## Contact information

- **Practice address:** 1040 NW 22ND AVE, SUITE 630, PORTLAND, OR 97210-3057
- **Practice address phone:** (503) 954-1566
- **Practice address fax:** (503) 796-2742
- **Mailing address:** 1040 NW 22ND AVE, SUITE 630, PORTLAND, OR 97210-3057
- **Mailing address phone:** (503) 954-1566
- **Mailing address fax:** (503) 796-2742

## Taxonomy

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

## Other

- **Enumeration date:** 11/18/2010
- **Last updated:** 02/01/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 012360000 | REGENCE BLUE CROSS | OR |
| 05 | — | 025671 | — | OR |
| 05 | — | 1017284 | — | WA |