Northwest Gastroenterology Clinic Llc in Portland - Specialist
Northwest Gastroenterology Clinic Llc - NPI 1407933872
Northwest Gastroenterology Clinic Llc is a Specialist in Portland, Oregon. Northwest Gastroenterology Clinic Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Northwest Gastroenterology Clinic Llc is 1407933872. The last update date is 2015-06-15.
Northwest Gastroenterology Clinic Llc's current location address is 1130 Nw 22nd Ave Ste 410, Portland, Oregon. You can contact this provider via phone number 5032297137 and fax number 5032410628. The mailing address for Northwest Gastroenterology Clinic Llc is 1130 Nw 22nd Ave Ste 410, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Northwest Gastroenterology Clinic Llc |
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Address | 1130 Nw 22nd Ave Ste 410, Portland, Oregon |
Phone Number | 5032297137 |
Fax Number | 5032410628 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PARTNER |
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Authorized Official Name | Bennetts William Roland |
Credentials | MD |
Telephone Number | 5032297137 |
NPI Number Detail
NPI Number | 1407933872 |
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Provider Enumeration Date | 2006-11-01 |
Last Updated Date | 2015-06-15 |
Provider Mailing Address Detail
Address | 1130 Nw 22nd Ave Ste 410 |
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City | Portland |
State | Oregon (OR) |
Post Code | 972102911 |
Phone Number | 5032297137 |
Fax Number | 5032410628 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identifier code issued to Northwest Gastroenterology Clinic Llc by the Centers for Medicare & Medicaid Services?
The Northwest Gastroenterology Clinic Llc has been assigned the NPI (National Provider Identifier) 1407933872 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Northwest Gastroenterology Clinic Llc's facilities are geographically located?
The facilities of Northwest Gastroenterology Clinic Llc are physically situated at the following location: 1130 Nw 22Nd Ave Ste 410, Portland, OR, 972102911.
What is Northwest Gastroenterology Clinic Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Northwest Gastroenterology Clinic Llc is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did Northwest Gastroenterology Clinic Llc receive its 1407933872 assignment from the Centers for Medicare & Medicaid Services?
The Northwest Gastroenterology Clinic Llc was assigned its 1407933872 on 2006-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Northwest Gastroenterology Clinic Llc last refreshed?
The information related to the Northwest Gastroenterology Clinic Llc, including its address, specialty, and other relevant details, was last updated on 2015-06-15.