Organization
GRAPEVINE WOMENS HEALTH AND GYNECOLOGY, LLC
Active
Organization
GRAPEVINE WOMENS HEALTH AND GYNECOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLA ROTBERG MD (MANAGER)
(503) 781-8846
Entity
Organization
Contact information
Practice address
5880 NE CORNELL RD STE C, HILLSBORO, OR 97124-9075
(503) 781-8846
Mailing address
13124 NW OLD GERMANTOWN RD, PORTLAND, OR 97231-2711
(503) 781-8846
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
23173
OR
Other
Enumeration date
05/30/2013
Last updated
06/05/2013
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