NORTHWEST UROLOGY, LLC

PORTLAND, OR
NPI1144698309
Entity TypeOrganization
Authorized ContactSHELLEY BROWN
COO
971-244-9937
Organization Subpart ?No
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
Enumeration Date2015-09-04
Last Update Date2018-07-31
Business Address
NORTHWEST UROLOGY, LLC
2230 NW PETTYGROVE ST
PORTLAND, OR 97210
Phone number: 503-223-6223
Mailing Address
NORTHWEST UROLOGY, LLC
PO BOX 10343
PORTLAND, OR 97296-0343
Phone number: 503-223-6223