| Forensic Neuroscience Consultants Llc | |
|
2030 Nw Raleigh St Portland OR 97209-2390 | |
| (630) 935-1548 | |
| Not Available |
| Full Name | Forensic Neuroscience Consultants Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2030 Nw Raleigh St, Portland, Oregon |
| Authorized Official Name and Position | David Masolak (OWNER) |
| Authorized Official Contact | 6309351548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forensic Neuroscience Consultants Llc 2030 Nw Raleigh St Apt 403 Portland OR 97209-2374 Ph: (630) 935-1548 | Forensic Neuroscience Consultants Llc 2030 Nw Raleigh St Portland OR 97209-2390 Ph: (630) 935-1548 |
| NPI Number | 1477446771 |
|---|---|
| Provider Enumeration Date | 06/03/2025 |
| Last Update Date | 06/03/2025 |
| Certification Date | 06/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477446771 | NPI | - | NPPES |
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