Northwest Urological Clinic PC

NPI #1619995172 in Portland, Oregon

Provider Information

NPI Number: 1619995172
Entity Type: Organization
Organization Name: Northwest Urological Clinic PC
Primary Specialty: Specialist
Enumeration Date: Jul 17, 2006
Last Updated: Mar 2, 2010

Practice Location

Address: 2230 NW PETTYGROVE ST
Address 2: SUITE 210
City: Portland
State: Oregon
ZIP Code: 97210-2659
Phone: (503) 223-6223

Authorized Official

Name: DR. DAVID BRIAN LASHLEY
Title: PARTNER
Phone: (503) 223-6223

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