Organization
NORTHWEST NEUROSPINE INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES H COBB (MANAGER)
(541) 431-0665
Entity
Organization
Contact information
Practice address
74B CENTENNIAL LOOP, SUITE 200, EUGENE, OR 97401-2451
(541) 393-0925
(541) 393-0914
Mailing address
74B CENTENNIAL LOOP, SUITE 200, EUGENE, OR 97401-2451
(541) 393-0925
(541) 393-0914
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
071578
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071578
STATE LICENSE
OR
Enumeration date
06/08/2006
Last updated
06/23/2008
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