Organization
NEUROCARE USA LIMITED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS GLEN OLIVER SR. (PRESIDENT)
(503) 371-6605
Entity
Organization
Contact information
Practice address
6252 SKYLINE RD S, SALEM, OR 97306-9405
(503) 371-6605
(503) 763-8727
Mailing address
6252 SKYLINE RD S, SALEM, OR 97306-9405
(503) 371-6605
(503) 763-8727
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
1569794-3
OR
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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