MEDICARE: JOHN F ZURASKY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	106642	AK
2	2084N0400X	Neurology Physician	C138232	CA
3	2084N0400X	Neurology Physician	MD60216892	WA
4	2084N0400X	Neurology Physician	MD153237	OR
5	2084N0400X	Neurology Physician	34901	MT
6	2084A2900X	Neurocritical Care Physician	MD153237	OR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00965906	OTHER	OR	RR MEDICARE - PHS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255337572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN F ZURASKY MD

Provider Business Mailing Address
First Line	:	PO BOX 3158
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97208-3158
Country	:	US
Telephone Number	:	503-215-6494
Fax Number	:	503-215-6644

Provider Business Practice Location Address
First Line	:	4805 NE GLISAN ST
Second Line	:	STE 3G37
City	:	PORTLAND
State	:	OR
Zip	:	97213-2933
Country	:	US
Telephone Number	:	503-215-6335
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	11/25/2022

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Directions to “ JOHN F ZURASKY MD” Practice Location

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