STEPHEN ARTHUR BACK MD
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
Provider Information
- NPI Number
1356358287- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 3181 SW SAM JACKSON PARK RD, PORTLAND, OR, 972393011
- Phone
- (503) 494-5856
Specialties & Taxonomies
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
Primary License: OR #MD21910
All Addresses
MAILING
20 GROUSE TER
LAKE OSWEGO, OR, 970351014