Organization
PACIFIC NEUROSURGICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERSON WILLIAM CHEN MD (CEO)
(503) 528-0704
Entity
Organization
Contact information
Practice address
501 N GRAHAM ST, SUITE 580, PORTLAND, OR 97227-1654
(503) 528-0704
(503) 528-0708
Mailing address
501 N GRAHAM ST, SUITE 580, PORTLAND, OR 97227-1654
(503) 528-0704
(503) 528-0708
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134321
—
OR
Enumeration date
05/28/2006
Last updated
08/22/2020
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