Organization
FORENSIC NEUROSCIENCE CONSULTANTS LLC
Active
Organization
FORENSIC NEUROSCIENCE CONSULTANTS LLC
Active
Parent organization
FORENSIC NEUROSCIENCE CONSULTANTS LLC
Other names
David Masolak MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
FORENSIC NEUROSCIENCE CONSULTANTS LLC
Authorized official
DAVID MASOLAK MD (OWNER)
(630) 935-1548
Entity
Organization
Contact information
Practice address
2030 NW RALEIGH ST, PORTLAND, OR 97209-2390
(630) 935-1548
Mailing address
2030 NW RALEIGH ST APT 403, PORTLAND, OR 97209-2374
(630) 935-1548
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
2084F0202X
Forensic Psychiatry Physician
—
—
2084P0005X
Neurodevelopmental Disabilities Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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