West Portland Neurology, L.L.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

WEST PORTLAND NEUROLOGY, L.L.C.

Practice address

1040 NW 22ND Ave
Suite 630
Portland, OR 97210-3057

Phone

(503) 954-1566

Fax

(503) 796-2742

NPI assigned

Nov 18, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Josiah Brown, M.D., PH.D.

Title

Physician/Neurologist

Phone

(503) 954-1566

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1588966857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 NW 22ND AVE",
            "address_2": "SUITE 630",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103057",
            "telephone_number": "503-954-1566",
            "fax_number": "503-796-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 NW 22ND AVE",
            "address_2": "SUITE 630",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103057",
            "telephone_number": "503-954-1566",
            "fax_number": "503-796-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PORTLAND NEUROLOGY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JOSIAH",
        "authorized_official_title_or_position": "PHYSICIAN/NEUROLOGIST",
        "authorized_official_telephone_number": "503-954-1566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017284",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE CROSS",
            "identifier": "012360000",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025671",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West Hills Gastroenterology Associates PC
• West Hills Gastroenterology Equipment Corp
• West Hills Village Limited Partnership
• West Hills Vision Care, LLC
• West Portland Chiropractic
• West Portland Physical Therapy Clinic LLC
• West Portland Therapeutic Massage LLC
• West Tabor Dental LLC
• Pauline West-Aton
• Ashlyn Skogsberg West, LPC

• Medical Specialty Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Medical Specialty Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.