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NORTHWEST WOMEN'S CLINIC PC NPI 1043204225


NPI Information

NPI: 1043204225
Provider Name: NORTHWEST WOMEN'S CLINIC, PC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 38D0623795

Address:
2222 NW LOVEJOY ST
SUITE 619
PORTLAND, OR
ZIP 97210
Phone: (503) 229-7720
Get Directions

NORTHWEST WOMEN'S CLINIC, PC is an obstetrics gynecology in Portland, OR. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NORTHWEST WOMEN'S CLINIC, PC NPI is 1043204225. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2222 NW LOVEJOY ST
SUITE 619
PORTLAND, OR
ZIP 97210-033
Phone: (503) 229-7720
Fax: (503) 229-8032

The provider's authorized official is Roberto M Decastro .
The authorized official title is President and has the following contact phone number (503) 229-7720.

The CLIA number assigned to this NPI record is 38D0623795 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/2/2005 and was last updated on 12/13/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1287354MEDICAIDOREGON
20000WCNBKMEDICARE ID-TYPE UNSPECIFIEDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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