Greater Portland Neurosurgical Center, Pc

LBN: Greater Portland Neurosurgical Center, Pc
Greater Portland Neurosurgical Center, Pc is an health care organization with primary practice located at 24900 Se Stark St Ste 209 , Gresham OR 97030-3382. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Greater Portland Neurosurgical Center, Pc can be contacted via phone (503) 665-5522, or through Ordonez, Julio via phone (503) 665-5522.

Contact Information

Primary practice address
24900 Se Stark St Ste 209 Gresham OR 97030-3382
Phone: (503) 665-5522
Fax: (503) 665-8822
Website:
Map and Directions
Authorized official contact:
Name: Ordonez, Julio Doctor of Medicine (MD)
Phone: (503) 665-5522

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD11164 Oregon

Profile Details

NPI number 1033451265
LBN Legal business name Greater Portland Neurosurgical Center, Pc
DBA Doing business as
Authorized official Ordonez, Julio Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2013
Last updated Aug 15th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033451265 NPPES
Oregon Other R169208 PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
Oregon MEDICAID 192138 PROVIDER TRANSACTION ACCESS NUMBER (PTAN)

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