Organization
WESTSIDE UROLOGY ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE TAYLOR (OFFICE MANAGER)
(503) 648-6611
Entity
Organization
Contact information
Practice address
333 SE 7TH AVE STE 4500, HILLSBORO, OR 97123-4177
(503) 648-6611
(503) 640-3178
Mailing address
333 SE 7TH AVE STE 4500, HILLSBORO, OR 97123-4177
(503) 648-6611
(503) 640-3178
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287129
—
OR
Enumeration date
01/08/2007
Last updated
08/22/2020
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