Organization
NORTHWEST ENDOCRINOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TROY DILLARD M.D. (PRESIDENT)
(503) 897-0403
Entity
Organization
Contact information
Practice address
16463 BOONES FERRY RD, SUITE 300, LAKE OSWEGO, OR 97035-4259
(503) 303-8377
Mailing address
328 SW HAMILTON ST, PORTLAND, OR 97239-4036
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD28838
OR
Other
Enumeration date
02/05/2011
Last updated
03/08/2011
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