# NGC ENDOSCOPY SERVICES LLC

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

## Provider details

- **NPI number:** 1366529638
- **Authorized official:** DR. ROLAND WILLIAM BENNETTS (MEDICAL DIRECTOR)
- **Authorized official phone:** (503) 229-7137

## Contact information

- **Practice address:** 1130 NW 22ND AVE STE 410, PORTLAND, OR 97210-2911
- **Practice address phone:** (503) 229-7137
- **Mailing address:** 1130 NW 22ND AVE STE 615, PORTLAND, OR 97210-2977
- **Mailing address phone:** (503) 229-7137
- **Mailing address fax:** (503) 241-0628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 07 1539 | OR | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/22/2020