Organization
NEUROSPINE INSTITUTE LLC
Active
Other names
Neurosurgery Associates
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LEISHMAN (CREDENTIALING SPECIALIST)
(541) 686-3791
Entity
Organization
Contact information
Practice address
74B CENTENNIAL LOOP, SUITE 100, EUGENE, OR 97401-7918
(541) 686-3791
(541) 686-3795
Mailing address
74B CENTENNIAL LOOP STE 300, EUGENE, OR 97401-7925
(541) 686-3791
(541) 686-3795
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005818
—
OR
Enumeration date
05/04/2006
Last updated
05/09/2022
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