NW Neurosurgery LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

NW NEUROSURGERY LLC

Practice address

311 NW 12TH Ave Unit 1003
Portland, OR 97209-2995

Phone

(503) 227-8515

NPI assigned

Dec 5, 2011

Organization subpart

No

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

Authorized official

Name

Michael Dorsen, MD

Title

Physician/Owner

Phone

(503) 528-0704

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1942578026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 NW 12TH AVE",
            "address_2": "#1003",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NW 12TH AVE UNIT 1003",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092995",
            "telephone_number": "503-227-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW NEUROSURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "DORSEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "503-528-0704",
        "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": []
}

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• 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 Sep 2, 2015; 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.