MENOPAUSE NORTHWEST LLC NPI 1780291146

NPI Information

NPI: 1780291146
Provider Name: MENOPAUSE NORTHWEST, LLC
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Organization

Specialization: Obstetrics & Gynecology

Address:
2712 SE 43RD AVE
PORTLAND, OR
ZIP 97206
Phone: (503) 951-1581
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MENOPAUSE NORTHWEST, LLC is an obstetrics and gynecology nurse practitioner in Portland, OR. MENOPAUSE NORTHWEST, LLC NPI is 1780291146. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2712 SE 43RD AVE
PORTLAND, OR
ZIP 97206-608
Phone: (503) 951-1581

The provider's authorized official is Christina Cameli .
The authorized official title is Owner and has the following contact phone number (503) 951-1581.

The enumeration date for this NPI number is 9/29/2020 and was last updated on 9/29/2020.

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
1	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology			Yes

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
1	1891987079	MEDICAID	OREGON

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: 4/28/2024

NPI Synchronization or Removal

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