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1144698309
NORTHWEST UROLOGY, LLC
PORTLAND, OR
NPI
1144698309
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Entity Type
Organization
Authorized Contact
SHELLEY BROWN
COO
971-244-9937
Organization Subpart ?
No
Primary Taxonomy
332900000X Non-Pharmacy Dispensing Site
Enumeration Date
2015-09-04
Last Update Date
2018-07-31
Business Address
NORTHWEST UROLOGY, LLC
2230 NW PETTYGROVE ST
PORTLAND, OR 97210
Phone number: 503-223-6223
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Mailing Address
NORTHWEST UROLOGY, LLC
PO BOX 10343
PORTLAND, OR 97296-0343
Phone number: 503-223-6223
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