Portland Gynecologic Oncology, PC

NPI #1366745655 in Portland, Oregon

Provider Information

NPI Number: 1366745655
Entity Type: Organization
Organization Name: Portland Gynecologic Oncology, PC
Subpart: Yes (part of a larger organization)
Parent Organization: PORTLAND GYNECOLOGIC ONCOLOGY, PC
Primary Specialty: Specialist
Enumeration Date: Dec 8, 2010
Last Updated: Dec 8, 2010

Practice Location

Address: 9155 SW BARNES RD STE 416
City: Portland
State: Oregon
ZIP Code: 97225-6631
Phone: (503) 297-8700

Authorized Official

Name: JANA MARIE REDDOCH
Title: MD
Phone: (503) 297-8700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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