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NORTHWEST ENDOMETRIOSIS AND PELVIC SURGERY
NPI 1316436785
Obstetrics & Gynecology - Gynecology in Portland, OR

Active since May 01, 2018
511 SW 10TH AVE STE 907, PORTLAND, OR 97205(503) 715-1377(503) 771-2717 Get Directions Write a Review

NPPES record last updated: July 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 5, 2021, May 18, 2021, May 1, 2018 (3 updates tracked since 2018).

About Northwest Endometriosis And Pelvic Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWEST ENDOMETRIOSIS AND PELVIC SURGERY (NPI 1316436785) is a healthcare organization registered as a gynecology in Portland, Oregon and active in the NPI registry since May 2018. The organization lists Nicholas S Fogelson, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1316436785
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameNICHOLAS FOGELSON MD LLC
Location Address511 SW 10TH AVE STE 907Portland, OR 97205-2710
Mailing Address511 Sw 10th Ave Ste 907Portland, OR 97205-2710 · (503) 715-1377 · Fax (503) 771-2717
Phone(503) 715-1377
Fax(503) 771-2717
Organization SubpartNo
Authorized OfficialNicholas S FogelsonMedical Director · (503) 715-1377
Enumeration DateMay 1, 2018
Last NPPES UpdateJuly 5, 20213 updates tracked since enumeration
NPPES CertifiedJuly 5, 2021
✔ NPI 1316436785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in OR · 173545
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
511 SW 10TH AVE STE 907, Portland, OR 97205
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Other Names 1

Doing Business AsNorthwest Endometriosis And Pelvic Surgery

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NICHOLAS S. FOGELSON M.D.
Obstetrics & Gynecology (Gynecology)
511 SW 10TH AVE STE 907
PORTLAND, OR 97205
Multnomah County (503) 715-1377

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Fogelson MD LLC's NPI number?

The NPI number for Nicholas Fogelson MD LLC is 1316436785. It was assigned to this organization in the NPPES registry on May 1, 2018. The provider is doing business as Northwest Endometriosis And Pelvic Surgery.

Where is Nicholas Fogelson MD LLC located?

Nicholas Fogelson MD LLC is located at 511 SW 10th Ave Ste 907, Portland, OR 97205. The listed phone number is (503) 715-1377.

What is Nicholas Fogelson MD LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Nicholas Fogelson MD LLC was last updated on July 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.