NPI | 1699804336 |
---|---|
Doing Business As | PROVIDENCE NEUROLOGICAL SPECIALTIES PSV MJP |
Entity Type | Organization |
Authorized Contact | KEENAN B FREEMAN CFO 503-893-6524 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2007-03-05 |
Last Update Date | 2012-09-10 |