Organization
OREGON NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD R DEVERE MD (SECRETARY)
(503) 692-2850
Entity
Organization
Contact information
Practice address
19260 SW 65TH AVENUE, #280, TUALATIN, OR 97062
(503) 692-2850
(503) 692-4465
Mailing address
19260 SW 65TH AVENUE, #280, TUALATIN, OR 97062
(503) 692-2850
(503) 692-4465
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269960
—
OR
Enumeration date
07/04/2006
Last updated
04/01/2015
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