# NORTHWEST UROLOGY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144698309
- **Authorized official:** MS. SHELLEY BROWN (COO)
- **Authorized official phone:** (971) 244-9937

## Contact information

- **Practice address:** 2230 NW PETTYGROVE ST, PORTLAND, OR 97210
- **Practice address phone:** (503) 223-6223
- **Mailing address:** PO BOX 10343, PORTLAND, OR 97296-0343
- **Mailing address phone:** (503) 223-6223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 09/04/2015
- **Last updated:** 07/31/2018