Northwest Urology, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NORTHWEST UROLOGY, LLC

Practice address

9135 SW Barnes Rd # 637
Portland, OR 97225-6646

Phone

(503) 223-6223

Fax

(503) 223-3665

NPI assigned

Mar 5, 2015

Last updated

May 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shelley Brown

Title

Coo

Phone

(971) 244-9937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, GA, WA3 enrollments

Enrollment records 3

Locations

Practitioners 318

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sasha Courand Druskin, M.D.

  • Urology Physician
  • Portland, OR
  • NPI 1376885418
  Medicare reassignment Care Compare group NPD
• John M Gunselman, D.O.

  • Urology Physician
  • Portland, OR
  • NPI 1194953125
  Medicare reassignment Care Compare group NPD
• Daniel M Janoff, MD

  • Urology Physician
  • Portland, OR
  • NPI 1831239466
  Medicare reassignment Care Compare group NPD
• Stanley A Myers, M.D.

  • Urology Physician
  • Portland, OR
  • NPI 1740288158

  WA

  Medicare reassignment Care Compare group NPD
• Brian S Shaffer, MD

  • Urology Physician
  • Portland, OR
  • NPI 1306986930
  Medicare reassignment Care Compare group NPD
• Sara Spettel, MD

  • Urology Physician
  • Portland, OR
  • NPI 1750544243
  Medicare reassignment Care Compare group NPD
• David Andrew Staneck, M.D.

  • Urology Physician
  • Tualatin, OR
  • NPI 1730181199
  Medicare reassignment Care Compare group NPD
• James Francis Tycast, M.D.

  • Urology Physician
  • Portland, OR
  • NPI 1679775241
  Medicare reassignment Care Compare group NPD
• Kevin Brandt, PA-C

  • Physician Assistant
  • Portland, OR
  • NPI 1528318995
  Medicare reassignment Care Compare group
• James Bresee, M.D.

  • Urology Physician
  • Portland, OR
  • NPI 1730484544
  Medicare reassignment Care Compare group
• Dana Alexis Dauer, PA-C

  • Physician Assistant
  • Portland, OR
  • NPI 1376002436
  Medicare reassignment Care Compare group
• William Theodore Simpson, PA

  • Physician Assistant
  • Portland, OR
  • NPI 1144879628

  WA

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1629461397",
    "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",
            "fax_number": "503-223-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 SW BARNES RD # 637",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256646",
            "telephone_number": "503-223-6223",
            "fax_number": "503-223-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST UROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "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"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Surgical Specialists PC (Rebound Rose Quarter)
• Northwest Surgical Specialists, P.C. (Rebound Orthopedics & Neurosurgical Specialists)
• Northwest Urological Clinic PC
• Northwest Urology, LLC
• Northwest Urology, LLC
• Northwest Vascular Consultants Inc
• Northwest Vein Specialists, P.C.
• Northwest Vitality Group
• Northwest Wade Corporation (Community Ambulance)
• Northwest Wade Corporation (Community Ambulance)

• Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.