Center for Mens and Womens Urology LLC

NPI #1013197987 in Gresham, Oregon

Provider Information

NPI Number: 1013197987
Entity Type: Organization
Organization Name: Center for Mens and Womens Urology LLC
Primary Specialty: Specialist
Enumeration Date: Nov 8, 2007
Last Updated: Dec 21, 2010

Practice Location

Address: 24076 SE STARK ST
Address 2: SUITE 310
City: Gresham
State: Oregon
ZIP Code: 97030-3373
Phone: (503) 492-6510

Authorized Official

Name: SHAMMAI ROCKOVE, M.D.
Title: MEDICAL DRIECTOR
Phone: (503) 492-6510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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