Columbia Neurosurgical Trauma, LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

COLUMBIA NEUROSURGICAL TRAUMA, LLC

Practice address

1040 NW 22ND Ave Ste 630
Portland, OR 97210-3041

Phone

(503) 796-2743

Fax

(503) 796-2742

NPI assigned

Nov 29, 2017

Organization subpart

No

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

Authorized official

Name

David Adler, MD

Title

Owner

Phone

(503) 796-2743

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1447764485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 NW 22ND AVE STE 630",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103041",
            "telephone_number": "503-796-2743",
            "fax_number": "503-796-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 NW 22ND AVE STE 630",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103041",
            "telephone_number": "503-796-2743",
            "fax_number": "503-796-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA NEUROSURGICAL TRAUMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "ADLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-796-2743",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbia Medical Alarm, Inc.
• Columbia Medical Clinic PC
• Columbia Medical Clinic, PC
• Columbia Metabolic Clinic
• Columbia Neurosurgical Associates, LLC
• Columbia Optical Co.
• Columbia Orthopaedic Associates PC
• Columbia Park Oral Surgery PC
• Columbia Pharmacy LLC
• Columbia Regional Program-Audiology

• Neurological Surgery Physician in Portland, OR
• Providers in Portland, OR by specialty
• Neurological Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.