Provider Demographics
NPI:1548383037
Name:COMPREHENSIVE NEUROSURGICAL CONSULTANTS PC
Entity Type:Organization
Organization Name:COMPREHENSIVE NEUROSURGICAL CONSULTANTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:ROHRER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-546-3503
Mailing Address - Street 1:9155 SW BARNES RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-6625
Mailing Address - Country:US
Mailing Address - Phone:503-546-3503
Mailing Address - Fax:503-546-3507
Practice Address - Street 1:9155 SW BARNES RD
Practice Address - Street 2:SUITE 210
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-6625
Practice Address - Country:US
Practice Address - Phone:503-546-3503
Practice Address - Fax:503-546-3507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR121671Medicare ID - Type Unspecified
ORF80651Medicare UPIN