Organization
CENTER FOR MENS AND WOMENS UROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMMAI ROCKOVE M.D. (MEDICAL DRIECTOR)
(503) 492-6510
Entity
Organization
Contact information
Practice address
24076 SE STARK ST, SUITE 310, GRESHAM, OR 97030-3373
(503) 492-6510
(503) 492-6502
Mailing address
24076 SE STARK ST, SUITE 310, GRESHAM, OR 97030-3373
(503) 492-6510
(503) 492-6502
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/08/2007
Last updated
12/21/2010
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