| Diablo Neurology Inc. | |
|
585 W Lookout Ridge Dr Washougal WA 98671-7595 | |
| (925) 299-9022 | |
| (925) 299-9024 |
| Full Name | Diablo Neurology Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 585 W Lookout Ridge Dr, Washougal, Washington |
| Authorized Official Name and Position | Michael John Nelson (PRESIDENT) |
| Authorized Official Contact | 9252999022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diablo Neurology Inc. 585 W Lookout Ridge Dr Washougal WA 98671-7595 Ph: (925) 299-9022 | Diablo Neurology Inc. 585 W Lookout Ridge Dr Washougal WA 98671-7595 Ph: (925) 299-9022 |
| NPI Number | 1982910295 |
|---|---|
| Provider Enumeration Date | 08/24/2010 |
| Last Update Date | 09/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982910295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 00039405 (Washington) | Primary |
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