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Organization
NORTHWEST UROLOGY, LLC
Active
Organization
NORTHWEST UROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELLEY BROWN (COO)
(971) 244-9937
Entity
Organization
Contact information
Practice address
2230 NW PETTYGROVE ST, PORTLAND, OR 97210
(503) 223-6223
Mailing address
PO BOX 10343, PORTLAND, OR 97296-0343
(503) 223-6223
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL
Other
Enumeration date
09/04/2015
Last updated
07/31/2018
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