Organization
NEUROMONITORING SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHONTHICHA CHEN (GENERAL MANAGER)
(503) 881-9459
Entity
Organization
Contact information
Practice address
2785 RIVER RD S, SALEM, OR 97302-5883
(503) 881-9459
(503) 363-4373
Mailing address
2480 LIBERTY ST NE STE 180, SALEM, OR 97301-8388
(503) 881-9459
(503) 363-4373
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
246ZE0600X
ELECTRONEURODIAGNOSTIC : TECHNOLOGISTS, TECHNICIANS & OTHER TECHNICAL SERVICE P
OR
Enumeration date
05/13/2019
Last updated
05/13/2019
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