Organization · NPI-2
Grapevine Womens Health And Gynecology, LLC
Obstetrics & Gynecology, Gynecology · Hillsboro, OR
NPI number1780021899
StatusActive
Last updated in NPPESJun 5, 2013
Details
- NPI
- 1780021899
- Entity type
- Organization (NPI-2)
- Legal business name
- Grapevine Womens Health And Gynecology, LLC
- Organization subpart
- No
- Enumeration date
- May 30, 2013
- Last updated
- Jun 5, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology, Gynecology | 23173 | OR | Yes |
Practice location
5880 Ne Cornell Rd Ste CHillsboro, OR 97124-9075
Phone 503-781-8846
Mailing address
13124 Nw Old Germantown RdPortland, OR 97231-2711
Phone 503-781-8846
Authorized official
Nicola Rotberg
Manager
5037818846
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