Pride Neuroscience Group LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

PRIDE NEUROSCIENCE GROUP LLC

Practice address

2480 Liberty St NE Ste 180
Salem, OR 97301-8388

Phone

(503) 881-9459

NPI assigned

Aug 30, 2020

Organization subpart

No

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

Authorized official

Name

Chonthicha Chen

Title

Manager

Phone

(503) 881-9459

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1598745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598745600000",
    "number": "1811500671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 LIBERTY ST NE STE 180",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973018388",
            "telephone_number": "503-881-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 LIBERTY ST NE STE 180",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973018388",
            "telephone_number": "503-881-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE NEUROSCIENCE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-30",
        "last_updated": "2020-08-30",
        "certification_date": "2020-08-30",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "CHONTHICHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-881-9459"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Kay Presley, DPT
• David N Pressman, MD
• Sierra Nicole Preston-Thompson
• Chelsea Prettyman
• Pamela Diana Price, PHD LAC DIPLAC
• Bruce Arthur Priem, M.S. P.T.
• Marcie Lynn Pries, CHW
• Margery Ruth Pries, L.M.T.
• Primal Path Therapy LLC
• Primary Care West, P.C.

• Neurological Surgery Physician in Salem, OR
• Providers in Salem, 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 Aug 30, 2020; 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.