Braincare, LLC

Physiological Laboratory · Portland, OR

Organization Active NPI

NPI number 1366985483

Practice location

111 SW 5TH Ave
Ste 3150 (Unit 3142)
Portland, OR 97204-3604
Phone
(866) 848-2522
Fax
(877) 290-1544

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NPI record

NPI
1366985483
Entity type
Organization (Type 2)
Enumeration date
November 21, 2016
Last updated
November 21, 2016
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physiological Laboratory Primary 293D00000X — —

Mailing address

2670 Firewheel Dr
Ste B
Flower Mound, TX 75028-4601
Phone
(866) 848-2522
Fax
(877) 290-1544

Authorized official

Name
Janice Shock
Title
Sr Director of Operations
Phone
(214) 532-3757

Other names

  • Global Neuro-Diagnostics

About Braincare, LLC

Braincare, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Physiological Laboratory (code 293D00000X). The practice location is 111 SW 5TH Ave, Ste 3150 (Unit 3142), Portland, OR 97204-3604. The NPI number 1366985483 was assigned on November 21, 2016 and the record was last updated on November 21, 2016.

The authorized official for this organization is Janice Shock, Sr Director of Operations.

Frequently asked questions

What is the NPI number of Braincare, LLC?

The NPI number is 1366985483.

What is the phone number of Braincare, LLC?

The phone number listed for the practice location is (866) 848-2522.

Where is Braincare, LLC located?

111 SW 5TH Ave, Ste 3150 (Unit 3142), Portland, OR 97204-3604.

What is the taxonomy code for Braincare, LLC?

The primary taxonomy code is 293D00000X – Physiological Laboratory.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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