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NPI Verification

National Provider Identifier: 1467112748

360 Pelvic Health Institute LLC

Organization

Primary Specialty

Urology

Code: 208800000X

All Specialties (3)

Obstetrics & Gynecology

Code: 207V00000X

Urology, Urogynecology and Reconstructive Pelvic Surgery

Code: 2088F0040X

Urology

Code: 208800000X

Primary

Practice Address

24076 SE STARK ST

SUITE 310

GRESHAM, OR 97030

Phone: 503-492-6510

NPI Enumeration Date

December 28, 2021

NPI Number

1467112748

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry