Organization · Type 2 NPI

Center for Mens and Womens Urology LLC

Specialist · Gresham, OR

NPI number 1013197987 Active

Practice location

24076 SE Stark St, Suite 310
Gresham, OR 97030-3373

Call (503) 492-6510 Map

Fax (503) 492-6502

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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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About NPI 1013197987

Center for Mens and Womens Urology LLC's National Provider Identifier is 1013197987, issued on Nov 8, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Gresham, OR. The record was last updated on Dec 21, 2010.