Northwestern Neurological Assoc Pc, NPI 1447223466
Neurological Surgery Physician in Portland, OR, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1447223466 |
| NPI Entity Type | Organization |
| Provider Name |
Northwestern Neurological Assoc Pc
Other Name |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 501 N Graham St, Suite 545, Portland, OR, US |
| Provider Mailing Address | 501 N Graham St, Suite 545, Portland, OR, US, 972271654 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Kent Michael Grewe |
| Official Position | PRESIDENT OF CORPORATION |
| Phone | 503-288-5151 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Neurological Surgery Physician |
| Classification | |
| Group | |
| Description | A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 004197 | OR | MEDICAID | 05 |
| R0000WCJVQ | OR | PTAN | 01 |
| 001782000 | BCBS | 01 |
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|---|---|---|---|
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MR. MD Nathaniel Justin Kelly Individual |
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MD Anh Linh Hoang Individual |
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BCBA, LBA Steven Hardy Individual |
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DR. PHD Mark R Mcminn Individual |
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Shelby Ramer Individual |
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FNP-BC Yvonne Renee Martenia Individual |
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DR. DMD Rachel Lynn Mendazona Individual |
199 Sw Shevlin Hixon Dr Ste A |
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Nicolle Asencio Individual |
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Talia Elizabeth Miller Individual |
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MD Sherilyn M Destefano Individual |
4411 Sw Vermont St |
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The Counseling Place Llc Organization |
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PA-C Sara J Wright Individual |
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LCSW Victoria Harris Individual |
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