Organization
MICRONEUROSURGICAL CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH M VARGO (CLINIC ADMINISTRATOR)
(503) 296-1172
Entity
Organization
Contact information
Practice address
9155 SW BARNES RD, SUITE 440, PORTLAND, OR 97225-6625
(503) 296-1172
(503) 296-1168
Mailing address
9155 SW BARNES RD, SUITE 440, PORTLAND, OR 97225-6625
(503) 296-1172
(503) 296-1168
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
01/15/2007
Last updated
08/22/2020
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