Organization
SUNSET NEUROLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUXANDRA M. COSTA CORPACIU M.D. (OWNER/ SOLO PROPRIETER)
(503) 935-7890
Entity
Organization
Contact information
Practice address
9155 SW BARNES RD, SUITE 531, PORTLAND, OR 97225-6625
(503) 935-7890
Mailing address
9155 SW BARNES RD, SUITE 531, PORTLAND, OR 97225-6625
(503) 935-7890
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD25141
OR
Other
Enumeration date
08/28/2011
Last updated
08/28/2011
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