| Providence Multiple Sclerosis Center | |
|
9427 Sw Barnes Rd Ste 595 Portland OR 97225-6652 | |
| (503) 296-9242 | |
| (503) 296-9856 |
| Full Name | Providence Multiple Sclerosis Center |
|---|---|
| Speciality | Clinic/center |
| Location | 9427 Sw Barnes Rd, Portland, Oregon |
| Authorized Official Name and Position | Mitchell S Neyhart (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5035749840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Multiple Sclerosis Center Po Box 3158 Portland OR 97208-3158 Ph: (503) 215-6494 | Providence Multiple Sclerosis Center 9427 Sw Barnes Rd Ste 595 Portland OR 97225-6652 Ph: (503) 296-9242 |
| NPI Number | 1245416965 |
|---|---|
| Provider Enumeration Date | 01/11/2008 |
| Last Update Date | 04/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245416965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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