NW Neurophysiology Consultants

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

License

MD28304 Issued in OR

Legal business name

NW NEUROPHYSIOLOGY CONSULTANTS

Practice address

7734 N Fowler Ave
Portland, OR 97217-5931

Phone

(503) 724-9725

NPI assigned

Sep 7, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Michael Dempster Jr., MD

Title

Sole Proprietor/Owner

Phone

(503) 724-9725

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1255680054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7734 N FOWLER AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972175931",
            "telephone_number": "503-724-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7734 N FOWLER AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972175931",
            "telephone_number": "503-724-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW NEUROPHYSIOLOGY CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "DEMPSTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SOLE PROPRIETOR/OWNER",
        "authorized_official_telephone_number": "503-724-9725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "WA",
            "license": "MD60170989",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "OR",
            "license": "MD28304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neurophysiology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Neurophysiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.