Northwest Urology, LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

NORTHWEST UROLOGY, LLC

Practice address

2230 NW Pettygrove St
Portland, OR 97210

Phone

(503) 223-6223

NPI assigned

Sep 4, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Shelley Brown

Title

Coo

Phone

(971) 244-9937

Specialties & licenses 1

Addresses

Tax ID family

Northwest Urology LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northwest Urology, LLC

  • Non-Pharmacy Dispensing Site
  • Portland, OR
  • NPI 1174413298
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/uc05804_northwesturologicalclinic

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1144698309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10343",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972960343",
            "telephone_number": "503-223-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 NW PETTYGROVE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97210",
            "telephone_number": "503-223-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST UROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "971-244-9937",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Spine Surgery LLC
• Northwest Surgical Specialists PC
• Northwest Surgical Specialists PC
• Northwest Surgical Specialists, P.C.
• Northwest Urological Clinic PC
• Northwest Urology, LLC
• Northwest Urology, LLC
• Northwest Vascular Consultants Inc
• Northwest Vein Specialists, P.C.
• Northwest Vitality Group

• Non-Pharmacy Dispensing Site in Portland, OR
• Providers in Portland, OR by specialty
• Non-Pharmacy Dispensing Site in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.