Organization
NW NEUROSURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DORSEN MD (PHYSICIAN/OWNER)
(503) 528-0704
Entity
Organization
Contact information
Practice address
311 NW 12TH AVE UNIT 1003, PORTLAND, OR 97209-2995
(503) 227-8515
Mailing address
311 NW 12TH AVE, #1003, PORTLAND, OR 97209-2991
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
12/05/2011
Last updated
09/02/2015
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