Northwest Gastroenterology Clinic

NPI 1407933872 - Specialist - 174400000X

NPI Details
NPI 1407933872
Enumeration Date 11/01/2006
Last Updated 06/15/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ROLAND WILLIAM ROLAND
Position PARTNER
Phone (503) 229-7137
Fax (503) 241-0628
Practice Location
1130 NW 22ND AVE STE 410
PORTLAND OR, 97210-2911, US
Phone (503) 229-7137
Fax (503) 241-0628
Business Location
1130 NW 22ND AVE STE 410
PORTLAND OR, 97210-2911, US
Phone (503) 229-7137
Fax (503) 241-0628
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Northwest Gastroenterology Clinic NPI is 1407933872, taxonomy code is 174400000X Northwest Gastroenterology Clinic physically located at 1130 Nw 22nd Ave Ste 410, Portland OR, 97210-2911. NPI Number 1033115704 has the healthcare provider type.

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1407933872 NPI number is provided on an as is basis without warranty of any kind. 1407933872 is maintained by the National Plan & Provider Enumeration System. The contents of Northwest Gastroenterology Clinic are for informational purposes only.