NORTHWEST IV, LLC

PORTLAND, OR
NPI1023596541
Doing Business AsEVOLVE HEALTH
Entity TypeOrganization
Authorized ContactJOHN PERRY
Managing Director
503-594-1774
Organization Subpart ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: OR  MD22534)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: OR  201392160NP-PP)
Enumeration Date2018-08-06
Last Update Date2019-12-11
Business Address
NORTHWEST IV, LLC
6400 SE LAKE RD STE 142
PORTLAND, OR 97222-2189
Phone number: 503-447-3285
Mailing Address
NORTHWEST IV, LLC
6400 SE LAKE RD STE 142
PORTLAND, OR 97222-2189
Phone number: 503-447-3285