NORTHWEST UROLOGY, LLC is a non pharmacy dispensing site in Portland, OR. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) NORTHWEST UROLOGY, LLC NPI is 1144698309. The provider is registered as an organization entity type.
The provider's business location address is:
2230 NW PETTYGROVE ST
PORTLAND, OR
ZIP 97210
Phone: (503) 223-6223
The provider's authorized official is Shelley Brown .
The authorized official title is Coo and has the following contact phone number (971) 244-9937.
The CLIA number assigned to this NPI record is 38D2104972 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 9/4/2015 and was last updated on 7/31/2018.