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NPI Code Detail

MEDICARE: DR. NEIL ALLAN FALK MD

MEDICARE:  DR. NEIL ALLAN FALK  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
12084P0800XPsychiatry PhysicianMD18435OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
218435OTHERORSTATE LICENSE NUMBER

General Provider Information

NPI Number : 1770532509
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NEIL ALLAN FALK MD
Provider Business Mailing Address
First Line : 2415 SE 43RD AVE
Second Line : SUITE 100
City : PORTLAND
State : OR
Zip : 97206-1600
Country : US
Telephone Number : 503-963-2575
Fax Number : 503-236-7166
Provider Business Practice Location Address
First Line : 2415 SE 43RD AVE
Second Line : SUITE 100
City : PORTLAND
State : OR
Zip : 97206-1600
Country : US
Telephone Number : 503-963-2575
Fax Number : 503-236-7166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 07/08/2007

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Directions to “ DR. NEIL ALLAN FALK MD” Practice Location

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