Organization
NICHOLAS FOGELSON MD LLC
Active
Other names
NORTHWEST ENDOMETRIOSIS AND PELVIC SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS S FOGELSON MD (MEDICAL DIRECTOR)
(503) 715-1377
Entity
Organization
Contact information
Practice address
511 SW 10TH AVE STE 907, PORTLAND, OR 97205-2710
(503) 715-1377
(503) 771-2717
Mailing address
511 SW 10TH AVE STE 907, PORTLAND, OR 97205-2710
(503) 715-1377
(503) 771-2717
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
173545
OR
Other
Enumeration date
05/01/2018
Last updated
07/05/2021
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