| East Portland Neurology Clinic Pc | |
|
10101 Se Main St Suite 2004 Portland OR 97216-2468 | |
| (503) 256-3034 | |
| (503) 256-3055 |
| Full Name | East Portland Neurology Clinic Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10101 Se Main St, Portland, Oregon |
| Authorized Official Name and Position | Howard Scott Taylor (OWNER/DOCTOR) |
| Authorized Official Contact | 5032563034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Portland Neurology Clinic Pc 10101 Se Main St Suite 2004 Portland OR 97216-2468 Ph: (503) 256-3034 | East Portland Neurology Clinic Pc 10101 Se Main St Suite 2004 Portland OR 97216-2468 Ph: (503) 256-3034 |
| NPI Number | 1285834135 |
|---|---|
| Provider Enumeration Date | 07/19/2007 |
| Last Update Date | 09/05/2023 |
| Certification Date | 04/27/2021 |
| Medicare PECOS PAC ID | 2961498761 |
|---|---|
| Medicare Enrollment ID | O20040426000067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285834135 | NPI | - | NPPES |
| 268003 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Howard S Taylor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336235423 PECOS PAC ID: 4587650387 Enrollment ID: I20091104000122 |
| Provider Name | Harpreet Kaur |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831482439 PECOS PAC ID: 2062720527 Enrollment ID: I20160715001303 |
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