PROV PEDS NEUROLOGY SALEM – Neurology Physician, NPI 1689845489
Neurology Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PROV PEDS NEUROLOGY SALEM
3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States
PORTLAND, OR 972083158
Phone: (503) 215-6494
Type: Mailing
PO BOX 31001 - 4180
PASADENA, CA 911104180
Phone: (503) 215-6494
Type: Mailing
2478, 13th Street Southeast, Salem, Marion County, Oregon, 97302, United States
SALEM, OR 973022522
Phone: (503) 362-2481
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97208)
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