institution
Portland Gastroenterology Equipment
Endoscopy Clinic/Center in Portland, Oregon
NPI 1962952655

Portland Gastroenterology Equipment is a Endoscopy Clinic/Center based in Portland, OR and is specialized in Endoscopy. Portland Gastroenterology Equipment practices in Portland, OR. The NPI Number for Portland Gastroenterology Equipment is 1962952655 and holds a License No. 07-1535 (Oregon).

The current practice location address for Portland Gastroenterology Equipment is 1111 Ne 99Th Ave Ste 302, Portland, OR and can be reached out via phone at 503-963-2760 and via fax at 503-963-2825.

Location: 1111 Ne 99Th Ave Ste 302, Portland, OR, 97232-2895
institution
Provider Profile Details
NPI Number
1962952655
Provider Name
Portland Gastroenterology Equipment
Credential
Provider Entity Type
Organization
Address
1111 Ne 99Th Ave Ste 302, Portland, OR, 97232-2895
Phone Number
503-963-2760
Fax Number
503-963-2825
Provider Enumeration Date
10/06/2016
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500719790 05 OR
institution
Provider Business Practice Location Address Details
Address
1111 Ne 99Th Ave Ste 302
City
State
Zip
97220-9442
Phone Number
503-963-2760
Fax Number
503-963-2825
person
Provider Business Mailing Address Details
Address
1111 Ne 99Th Ave Ste 302
City
State
Zip
97220-9442
Phone Number
503-963-2760
Fax Number
503-963-2825
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Endoscopy
Taxonomy
License No.
07-1535 (Oregon)
Definition
Definition to come...
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