Organization
NW NEUROPHYSIOLOGY CONSULTANTS
Active
Organization
NW NEUROPHYSIOLOGY CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL DEMPSTER JR. MD (SOLE PROPRIETOR/OWNER)
(503) 724-9725
Entity
Organization
Contact information
Practice address
7734 N FOWLER AVE, PORTLAND, OR 97217-5931
(503) 724-9725
Mailing address
7734 N FOWLER AVE, PORTLAND, OR 97217-5931
(503) 724-9725
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
MD28304
OR
2084N0600X
Clinical Neurophysiology Physician
MD60170989
WA
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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