Organization
WEST PORTLAND NEUROLOGY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY JOSIAH BROWN M.D., PH.D. (PHYSICIAN/NEUROLOGIST)
(503) 954-1566
Entity
Organization
Contact information
Practice address
1040 NW 22ND AVE, SUITE 630, PORTLAND, OR 97210-3057
(503) 954-1566
(503) 796-2742
Mailing address
1040 NW 22ND AVE, SUITE 630, PORTLAND, OR 97210-3057
(503) 954-1566
(503) 796-2742
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012360000
REGENCE BLUE CROSS
OR
05
—
025671
—
OR
05
—
1017284
—
WA
Enumeration date
11/18/2010
Last updated
02/01/2011
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