Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 27 2430 | OR |
NPI | 1326252867 |
---|---|
Provider Name | Dr. John Louis Platt |
First Address | Portland, OR 97206-5885 |
Second Address | Portland, OR 97206-5885 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 08/07/2007 |