East Portland Neurology Clinic PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

EAST PORTLAND NEUROLOGY CLINIC PC

Practice address

10101 SE Main St
Suite 2004
Portland, OR 97216-2468

Phone

(503) 256-3034

Fax

(503) 256-3055

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Howard Scott Taylor, MDNPI 1336235423

Title

Owner/Doctor

Phone

(503) 256-3034

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Howard Scott Taylor, MD

  • Neurology Physician
  • Portland, OR
  • NPI 1336235423
  Medicare reassignment Care Compare group NPD Authorized official
• Harpreet Kaur, MD

  • Neurology Physician
  • Portland, OR
  • NPI 1831482439
  Medicare reassignment Care Compare group NPD
• Robert W Crumpacker, MD

  • Neurology Physician
  • Portland, OR
  • NPI 1467568295
  NPD (past)
• Panna R Shah, MD

  • Psychiatry Physician
  • Eureka, CA
  • NPI 1780659763

  Neurology

  NPD (past)

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1285834135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 SE MAIN ST",
            "address_2": "SUITE 2004",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162468",
            "telephone_number": "503-256-3034",
            "fax_number": "503-256-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 SE MAIN ST",
            "address_2": "SUITE 2004",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162468",
            "telephone_number": "503-256-3034",
            "fax_number": "503-256-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST PORTLAND NEUROLOGY CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2023-09-05",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "503-256-3034",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268003",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "epneurology@232.direct.myezyaccess.com",
            "affiliation": "N",
            "address_1": "10101 SE Main St Ste 1006",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972162456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "epneurology@232.direct.myezyaccess.com",
            "affiliation": "N",
            "address_1": "10101 SE Main St Ste 1006",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972162456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Neurology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Neurology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.