OREGON UROLOGY CLINIC PC NPI 1730207713

NPI Information

  • NPI: 1730207713
  • Provider Name: OREGON UROLOGY CLINIC PC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 2222 NW LOVEJOY ST
    SUITE 416
    PORTLAND, OR
    ZIP 97210
  • Phone: (503) 229-7722

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NPI Details

OREGON UROLOGY CLINIC PC is an urology in Portland, OR. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. OREGON UROLOGY CLINIC PC NPI is 1730207713. 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 416
PORTLAND, OR
ZIP 97210-102
Phone: (503) 229-7722
Fax: (503) 222-5679

The provider's authorized official is David R Rosencrantz .
The authorized official title is Physician Surgeon and has the following contact phone number (503) 229-7722.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 4/25/2008.

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
1208800000XUrologyMD07089OREGONYes

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
1R102652MEDICARE ID-TYPE UNSPECIFIEDOREGONLINCOLN CITY, OREGON
2287875MEDICAIDOREGON
3136962MEDICARE PINOREGON
4340015578OTHEROREGONRAIL ROAD MEDICARE PORTLA
5000920001OTHEROREGONBLUE CROSS OF OREGON
6R102629MEDICARE ID-TYPE UNSPECIFIED
7C93654MEDICARE UPIN
8140794MEDICARE PINOREGON

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: 11/21/2025

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