Nerve And Pain Institute LLC
Psychiatry & Neurology, Pain Medicine in Tigard, OR. Organization (NPI-2).
NPI number1164047486
StatusActive
Last updated in NPPESJul 22, 2021
Details
- NPI
- 1164047486
- Entity type
- Organization (NPI-2)
- Legal business name
- Nerve And Pain Institute LLC
- Organization subpart
- No
- Enumeration date
- Jun 12, 2020
- Certification date
- Jul 22, 2021
- Last updated
- Jul 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P2900X | Psychiatry & Neurology, Pain Medicine | – | – | Yes |
Practice location
11930 Sw Greenburg RdTigard, OR 97223-6453
Phone 503-987-3707 · Fax 503-987-3001
Mailing address
11930 Sw Greenburg RdTigard, OR 97223-6453
Phone 503-987-3707 · Fax 503-987-3001
Authorized official
Kwo Wei David Ho
Physician
5039873707
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