NPI | 1316436785 |
---|---|
Doing Business As | NORTHWEST ENDOMETRIOSIS AND PELVIC SURGERY |
Entity Type | Organization |
Authorized Contact | NICHOLAS S FOGELSON Medical Director 503-715-1377 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OR 173545) |
Enumeration Date | 2018-05-01 |
Last Update Date | 2021-07-05 |