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NPI Code Detail

MEDICARE: WEST HILLS GASTROENTEROLOGY ASSOCIATES PC

MEDICARE: WEST HILLS GASTROENTEROLOGY ASSOCIATES PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician7054604OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932109840
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST HILLS GASTROENTEROLOGY ASSOCIATES PC
Provider Business Mailing Address
First Line : 9701 SW BARNES RD
Second Line : #300
City : PORTLAND
State : OR
Zip : 97225-6772
Country : US
Telephone Number : 503-297-8081
Fax Number : 503-292-6601
Provider Business Practice Location Address
First Line : 9701 SW BARNES RD
Second Line : #300
City : PORTLAND
State : OR
Zip : 97225-6772
Country : US
Telephone Number : 503-297-8081
Fax Number : 503-292-6601
Authorized Official
Title or Position : ASSISTANT ADMINISTRATOR
Name : DEBBIE LYNN SNOOK
Credential :
Telephone Number : 503-517-9612
Provider Enumeration Date : 07/21/2005
Last Update Date : 08/22/2020

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Directions to “WEST HILLS GASTROENTEROLOGY ASSOCIATES PC ” Practice Location

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