NORTHWEST GASTROENTEROLOGY CLINIC LLC
NPI 1407933872
Specialist in Portland, OR

Q: What is Northwest Gastroenterology Clinic LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since November 01, 2006

1130 NW 22ND AVE STE 410, PORTLAND, OR 97210(503) 229-7137(503) 241-0628 Get Directions Write a Review

NPPES record last updated: June 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Northwest Gastroenterology Clinic Llc NPPES

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

NORTHWEST GASTROENTEROLOGY CLINIC LLC (NPI 1407933872) is a healthcare organization registered as a specialist in Portland, Oregon and active in the NPI registry since November 2006. The organization lists Roland William Bennetts, Partner, as its authorized official.

NPPES Registry Identity

NPI1407933872

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameNORTHWEST GASTROENTEROLOGY CLINIC LLC

Location Address1130 NW 22ND AVE STE 410Portland, OR 97210-2911

Mailing Address1130 Nw 22nd Ave Ste 410Portland, OR 97210-2911 · (503) 229-7137 · Fax (503) 241-0628

Phone(503) 229-7137

Fax(503) 241-0628

Organization SubpartNo

Authorized OfficialRoland William BennettsPartner · (503) 229-7137

Enumeration DateNovember 1, 2006

Last NPPES UpdateJune 15, 2015

✔ NPI 1407933872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1130 NW 22ND AVE STE 410, Portland, OR 97210

Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified000WCHJDOR

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

NGC ENDOSCOPY SERVICES LLC

Clinic/Center (Ambulatory Surgical)