# NORTHWEST ENDOCRINOLOGY, LLC

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

## Provider details

- **NPI number:** 1619273844
- **Authorized official:** DR. TROY DILLARD M.D. (PRESIDENT)
- **Authorized official phone:** (503) 897-0403

## Contact information

- **Practice address:** 16463 BOONES FERRY RD, SUITE 300, LAKE OSWEGO, OR 97035-4259
- **Practice address phone:** (503) 303-8377
- **Mailing address:** 328 SW HAMILTON ST, PORTLAND, OR 97239-4036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | MD28838 | OR | Yes |

## Other

- **Enumeration date:** 02/05/2011
- **Last updated:** 03/08/2011