Specialty Neuro, P.C. in Portland - Specialist

Specialty Neuro, P.C. - NPI 1962543256

Specialty Neuro, P.C. is a Specialist in Portland, Oregon. Specialty Neuro, P.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Specialty Neuro, P.C. is 1962543256. The last update date is 2007-11-21.

Specialty Neuro, P.C.'s current location address is Po Box 219009, Portland, Oregon. You can contact this provider via phone number 5035795000 and fax number 5035795000. The mailing address for Specialty Neuro, P.C. is Po Box 219009, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Specialty Neuro, P.C.
Address Po Box 219009, Portland, Oregon
Phone Number 5035795000
Fax Number 5035795000
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHYSICIAN
Authorized Official Name Siker Alan David
Credentials M.D.
Telephone Number 5035795000

NPI Number Detail

NPI Number 1962543256
Provider Enumeration Date 2007-02-09
Last Updated Date 2007-11-21

Provider Mailing Address Detail

Address Po Box 219009
City Portland
State Oregon (OR)
Post Code 972259009
Phone Number 5035795000
Fax Number 5035795000

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MD22182
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
286534 OR --

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FAQs about Specialty Neuro, P.C.

What is the unique 10-digit identification code assigned to Specialty Neuro, P.C. by the Centers for Medicare & Medicaid Services?

The Specialty Neuro, P.C. has been issued the NPI (National Provider Identifier) 1962543256, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Specialty Neuro, P.C.?

The Specialty Neuro, P.C. is physically situated at Po Box 219009, in the city of Portland, state of OR, with the postal code 972259009.

What is Specialty Neuro, P.C.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Specialty Neuro, P.C. is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.

On what date did the Specialty Neuro, P.C. receive the assignment of its 1962543256 from the Centers for Medicare & Medicaid Services?

The Specialty Neuro, P.C. was issued its 1962543256 by the Centers for Medicare & Medicaid Services on 2007-02-09.

As of what date was the information regarding Specialty Neuro, P.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Specialty Neuro, P.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-11-21.

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