Organization
IN HOME NEURO STUDIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON EDWARDS PMP, CPHQ, LSSBB, RE (OWNER/MANAGER)
(503) 673-1199
Entity
Organization
Contact information
Practice address
3349 N.E. SANDY BLVD., # 367, PORTLAND, OR 97232-1959
(971) 227-9340
Mailing address
3349 N.E. SANDY BLVD., # 367, PORTLAND, OR 97232-1959
(971) 227-9340
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
04/08/2016
Last updated
08/12/2019
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