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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MEADOWLARK MIGRAINE CLINIC LLC
NPI 1194648063
Psychiatry & Neurology - Neurology in Portland, OR

Active since July 30, 2026
11005 SW 16TH DR, PORTLAND, OR 97219(503) 395-4209(833) 455-7410 Get Directions Write a Review

NPPES record added: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Meadowlark Migraine Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEADOWLARK MIGRAINE CLINIC LLC (NPI 1194648063) is a healthcare organization registered as a neurology in Portland, Oregon and active in the NPI registry since July 2026. The organization lists Emily Justusson Riddle, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1194648063
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameMEADOWLARK MIGRAINE CLINIC LLC
Location Address11005 SW 16TH DRPortland, OR 97219-7601
Mailing Address11005 Sw 16th DrPortland, OR 97219-7601 · (503) 395-4209 · Fax (833) 455-7410
Phone(503) 395-4209
Fax(833) 455-7410
Organization SubpartNo
Authorized OfficialEmily Justusson RiddleOwner/member · (503) 395-4209
Enumeration DateJuly 30, 2026
NPPES CertifiedJuly 30, 2026
✔ NPI 1194648063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
11005 SW 16TH DR, Portland, OR 97219
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Meadowlark Migraine Clinic LLC's NPI number?

The NPI number for Meadowlark Migraine Clinic LLC is 1194648063. It was assigned to this organization in the NPPES registry on July 30, 2026.

Where is Meadowlark Migraine Clinic LLC located?

Meadowlark Migraine Clinic LLC is located at 11005 SW 16th Dr, Portland, OR 97219. The listed phone number is (503) 395-4209.

What is Meadowlark Migraine Clinic LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Meadowlark Migraine Clinic LLC was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.