| Nerve And Pain Institute Llc | |
|
11930 Sw Greenburg Rd Tigard OR 97223-6453 | |
| (503) 987-3707 | |
| (503) 987-3001 |
| Full Name | Nerve And Pain Institute Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11930 Sw Greenburg Rd, Tigard, Oregon |
| Authorized Official Name and Position | Kwo Wei David Ho (PHYSICIAN) |
| Authorized Official Contact | 5039873707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nerve And Pain Institute Llc 11930 Sw Greenburg Rd Tigard OR 97223-6453 Ph: (503) 987-3707 | Nerve And Pain Institute Llc 11930 Sw Greenburg Rd Tigard OR 97223-6453 Ph: (503) 987-3707 |
| NPI Number | 1164047486 |
|---|---|
| Provider Enumeration Date | 06/12/2020 |
| Last Update Date | 07/22/2021 |
| Certification Date | 07/22/2021 |
| Medicare PECOS PAC ID | 7911321666 |
|---|---|
| Medicare Enrollment ID | O20200728001390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164047486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | (* (Not Available)) | Primary |
| Provider Name | Linda Okereke |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1104964915 PECOS PAC ID: 8022191725 Enrollment ID: I20080218000484 |
| Provider Name | Kwo Wei D Ho |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063894541 PECOS PAC ID: 6204143001 Enrollment ID: I20200728001853 |
| Provider Name | Jamie H Fung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619747557 PECOS PAC ID: 4789021619 Enrollment ID: I20240327000834 |
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