Columbia Gorge Neurology Specialists, LLC
NPI #1174729917 in The Dalles, Oregon
Provider Information
- NPI Number
- 1174729917
- Entity Type
- Organization
- Organization Name
- Columbia Gorge Neurology Specialists, LLC
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Jun 26, 2007
- Last Updated
- Dec 5, 2016
Practice Location
- Address
- 1615 E 12TH ST
- Address 2
- SUITE 100
- City
- The Dalles
- State
- Oregon
- ZIP Code
- 97058-3278
- Phone
- (541) 296-1100
Authorized Official
- Name
- LAURIE MILLER, RHIT, CCS-P
- Title
- CLINIC MANAGER
- Phone
- (541) 296-1100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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