Organization
NORTHWEST UROLOGICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BRIAN LASHLEY (PARTNER)
(503) 223-6223
Entity
Organization
Contact information
Practice address
2230 NW PETTYGROVE ST, SUITE 210, PORTLAND, OR 97210-2659
(503) 223-6223
(503) 223-3665
Mailing address
2230 NW PETTYGROVE ST, SUITE 210, PORTLAND, OR 97210-2659
(503) 223-6223
(503) 223-3665
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095570
—
OR
Enumeration date
07/17/2006
Last updated
03/02/2010
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