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NPI Code Detail

MEDICARE: WENDY S NEAL DO, ND

MEDICARE:   WENDY S NEAL  DO, ND
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
1204D00000XNeuromusculoskeletal Medicine & OMM PhysicianDO19964OR

Other Identifiers

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

General Provider Information

NPI Number : 1912049172
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY S NEAL DO, ND
Provider Business Mailing Address
First Line : 2901 E BURNSIDE ST
Second Line :
City : PORTLAND
State : OR
Zip : 97214-1831
Country : US
Telephone Number : 503-238-5203
Fax Number : 503-238-5202
Provider Business Practice Location Address
First Line : 2901 E BURNSIDE ST
Second Line :
City : PORTLAND
State : OR
Zip : 97214-1831
Country : US
Telephone Number : 503-238-5203
Fax Number : 503-238-5202
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2007
Last Update Date : 07/09/2007

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Directions to “ WENDY S NEAL DO, ND” Practice Location

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