NPI 1013197987

Center for Mens and Womens Urology LLC

Organisation Specialist Gresham, OR

Practice location

Address: 24076 SE Stark St Suite 310, Gresham, OR 97030-3373
Phone: (503) 492-6510
Fax: (503) 492-6502

Authorised official

Name: Shammai Rockove
Title: Medical Driector
Phone: (503) 492-6510

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1013197987
Entity type: Organization
NPI issued: 8 Nov 2007
Record last updated: 21 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.