NPIMap

Organization Active NPI

Northwest Gynecology Associates,LLC

  • Gynecology Physician
  • Hillsboro, OR
National Provider Identifier
1164600243
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
NORTHWEST GYNECOLOGY ASSOCIATES,LLC
Practice address
4660 NE Belknap CT Ste 109
Hillsboro, OR 97124-8402
Phone
(503) 352-3854
Fax
(503) 924-2769
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Ms. Brigette Krevanko
Title
Office/Billing Manager
Phone
(503) 352-3854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

4660 NE Belknap CT Ste 109
Hillsboro, OR 97124-8402

Mailing address

PO Box 1719
Hillsboro, OR 97123-1719
Phone (503) 352-3854

National Provider Directory

National Provider Directory

Locations

4660 NE Belknap Ct
Ste 109
Hillsboro, OR 97124
Phone (503) 352-3854

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1164600243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1719",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971231719",
            "telephone_number": "503-352-3854",
            "fax_number": "503-924-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 NE BELKNAP CT STE 109",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971248402",
            "telephone_number": "503-352-3854",
            "fax_number": "503-924-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST GYNECOLOGY ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "KREVANKO",
        "authorized_official_first_name": "BRIGETTE",
        "authorized_official_title_or_position": "OFFICE/BILLING MANAGER",
        "authorized_official_telephone_number": "503-352-3854",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.