Provider Demographics
NPI:1396174694
Name:NEUROCARE USA LIMITED, LLC
Entity type:Organization
Organization Name:NEUROCARE USA LIMITED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:GLEN
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:503-371-6605
Mailing Address - Street 1:6252 SKYLINE RD S
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97306-9405
Mailing Address - Country:US
Mailing Address - Phone:503-371-6605
Mailing Address - Fax:503-763-8727
Practice Address - Street 1:6252 SKYLINE RD S
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97306-9405
Practice Address - Country:US
Practice Address - Phone:503-371-6605
Practice Address - Fax:503-763-8727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1569794-3332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment