Organization · Type 2 NPI

Northwest Gastroenterology Clinic LLC

Specialist · Portland, OR

NPI number 1407933872 Active

Practice location

1130 NW 22nd Ave Ste 410
Portland, OR 97210-2911

Call (503) 229-7137 Map

Fax (503) 241-0628

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 1407933872

Northwest Gastroenterology Clinic LLC's National Provider Identifier is 1407933872, issued on Nov 1, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Jun 15, 2015.