Organization · NPI-2

Northwest Gynecology Associates,llc

Obstetrics & Gynecology, Gynecology · Hillsboro, OR

NPI number1164600243
StatusActive
Last updated in NPPESJan 31, 2008

Details

NPI
1164600243
Entity type
Organization (NPI-2)
Legal business name
Northwest Gynecology Associates,llc
Organization subpart
No
Enumeration date
Jan 31, 2008
Last updated
Jan 31, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VG0400X Obstetrics & Gynecology, Gynecology––Yes

Practice location

4660 Ne Belknap Ct Ste 109
Hillsboro, OR 97124-8402

Phone 503-352-3854 · Fax 503-924-2769

Mailing address

Po Box 1719
Hillsboro, OR 97123-1719

Phone 503-352-3854 · Fax 503-924-2769

Authorized official

Brigette Krevanko
Office/Billing Manager
5033523854

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