Northwest Neuro-Ophthalmology Llc

LBN: Northwest Neuro-Ophthalmology Llc
Northwest Neuro-Ophthalmology Llc is an health care organization with primary practice located at 1585 Sw Marlow Ave Ste 110, Portland OR 97225-5176. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Northwest Neuro-Ophthalmology Llc can be contacted via phone (503) 291-1422, or through Egan, Robert via phone (503) 291-1422.

Contact Information

Primary practice address
1585 Sw Marlow Ave Ste 110 Portland OR 97225-5176
Phone: (503) 291-1422
Fax: (503) 297-8129
Website:
Map and Directions
Authorized official contact:
Name: Egan, Robert Doctor of Medicine (MD)
Phone: (503) 291-1422

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X

Profile Details

NPI number 1619345683
LBN Legal business name Northwest Neuro-Ophthalmology Llc
DBA Doing business as
Authorized official Egan, Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2015
Last updated Oct 28th, 2015 - about 9 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 1619345683 NPPES
Oregon MEDICAID 500693068

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