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360 PELVIC HEALTH INSTITUTE LLC NPI 1467112748


NPI Information

NPI: 1467112748
Provider Name: 360 PELVIC HEALTH INSTITUTE LLC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
24076 SE STARK ST
SUITE 310
GRESHAM, OR
ZIP 97030
Phone: (503) 492-6510
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360 PELVIC HEALTH INSTITUTE LLC is an urology in Gresham, OR. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. 360 PELVIC HEALTH INSTITUTE LLC NPI is 1467112748. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

24076 SE STARK ST
SUITE 310
GRESHAM, OR
ZIP 97030
Phone: (503) 492-6510

The provider's authorized official is Melanie Ann Crites Bachert .
The authorized official title is Founder And President and has the following contact phone number (503) 492-6510.

The enumeration date for this NPI number is 12/28/2021 and was last updated on 12/28/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyNo
2208800000XUrologyYes
32088F0040XUrologyFemale Pelvic Medicine and Reconstructive SurgeryNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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