Organization
MEADOWLARK MIGRAINE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY JUSTUSSON RIDDLE MD (OWNER/MEMBER)
(503) 395-4209
Entity
Organization
Contact information
Practice address
11005 SW 16TH DR, PORTLAND, OR 97219-7601
(503) 395-4209
(833) 455-7410
Mailing address
11005 SW 16TH DR, PORTLAND, OR 97219-7601
(503) 395-4209
(833) 455-7410
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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