NPI 1659730760

Propel Network, LLC

Organisation General Practice Physician Beaverton, OR

Practice location

Address: 14525 SW Millikan Way, Beaverton, OR 97005-2343
Phone: (443) 342-6879
Mailing address: 6838 Ellicott Dr Suite a, East Syracuse, NY 13057-1039

Authorised official

Name: Hans Gangeskar
Title: Ceo
Phone: (800) 321-6879

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 126560 (CA)

Other General Practice providers in Oregon →

Registry record

NPI: 1659730760
Entity type: Organization
NPI issued: 17 Feb 2016
Record last updated: 7 Feb 2017

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.