NORTHWEST NEUROLOGICAL SPECIALISTS PC (NPI# 1538191606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538191606 |
| Entity Type | Organization |
| Organization Name | NORTHWEST NEUROLOGICAL SPECIALISTS PC |
| Practice Address |
1585 Sw Marlow Ave Ste 110 Portland OR 97225-5177 |
| Mailing Address |
Po Box 23200 Portland OR 97281-3200 |
| Practice Telephone | 5032911422 |
| Practice Fax Number | 5032978129 |
| Mailing Telephone | 5032911422 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-05-23 |
| Authorized Official Name | DR. DEBORAH SYNA (PRESIDENT) |
| Authorized Official Telephone | 5032911422 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 023516 | 05 | |
| OR | RAILROAD MEDICARE | DD4620 | 01 |
| OR | 274204 | 05 |
| Street Address |
1585 SW MARLOW AVE STE 110 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598112716 | Sleep Technologies Ltd | Durable Medical Equipment & Medical Supplies | 1585 Sw Marlow Ave Ste 110, Portland, OR 97225-5177 | 2016-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174907638 | Bridgeton Chiropractic, LLC | Clinic/Center | 10350 N Vancouver Way # 92, Portland, OR 97217-7530 | 2015-07-15 |
| 1912241746 | Portland Preventive Cardiology LLC | Clinic/Center | 8855 Sw Canyon Ln, Portland, OR 97225-3411 | 2012-11-16 |
| 1619234317 | Derek Libby Do | Clinic/Center | 97a Exchange St Ste 201, Portland, ME 04101-5016 | 2012-04-19 |
| 1447563010 | Jeanette Cummings, Dc, PC | Clinic/Center | 516 Se Morrison Street, Suite 1110, Portland, OR 97214-2390 | 2010-07-23 |
| 1982921607 | Naveen Sachdev Md Inc | Clinic/Center | 9155 Sw Barnes Rd Ste 417, Portland, OR 97225-6631 | 2010-04-21 |
| 1538298336 | Oregon Sleep and Pulmonary, LLC | Clinic/Center | 2228 Nw Pettygrove St Ste 150, Portland, OR 97210-2761 | 2007-03-05 |
| 1659939296 | The Travelling Tao | Clinic/Center | 121 Nw Everett St, Portland, OR 97209-4049 | 2019-05-29 |
| 1689189151 | Personaleyes, LLC | Clinic/Center | 14740 Nw Cornell Rd, Portland, OR 97229-5496 | 2017-12-06 |
| 1851810626 | Cascadia Behavioral Healthcare, Inc | Clinic/Center | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2017-09-13 |
| 1114372653 | Oregon Interventional Pain Consultants, LLC | Clinic/Center | 1849 Nw Kearney St, Suite 201, Portland, OR 97209-1453 | 2016-05-03 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.