Organization
SPECIALTY NEURO, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ALAN SIKER M.D. (PHYSICIAN DIRECTOR)
(503) 579-5000
Entity
Organization
Contact information
Practice address
1800 NE 2ND AVE, PORTLAND, OR 97212-3932
(503) 579-5000
(503) 579-5000
Mailing address
PO BOX 219009, PORTLAND, OR 97225-9009
(503) 579-5000
(503) 579-5000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD22182
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286534
—
OR
Enumeration date
02/09/2007
Last updated
11/21/2007
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