Western Neurosurgery Pc

LBN: Western Neurosurgery Pc
Western Neurosurgery Pc is an health care organization with primary practice located at 875 Oak St Se #5060, Salem OR 97301. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Western Neurosurgery Pc can be contacted via phone (503) 399-1386, or through Hubbard, Jerry L via phone (503) 399-1386.

Contact Information

Primary practice address
875 Oak St Se #5060 Salem OR 97301
Phone: (503) 399-1386
Fax: (503) 399-1182
Website:
Map and Directions
Authorized official contact:
Name: Hubbard, Jerry L Doctor of Medicine (MD)
Phone: (503) 399-1386

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD11848 Oregon

Profile Details

NPI number 1306865332
LBN Legal business name Western Neurosurgery Pc
DBA Doing business as
Authorized official Hubbard, Jerry L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Apr 10th, 2008 - about 17 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 1306865332 NPPES
Oregon MEDICAID 130294

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