=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043204225
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NORTHWEST WOMEN'S CLINIC, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/02/2005
-----------------------------------------------------
Last Update Date | 11/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11750 SW BARNES RD STE 300
-----------------------------------------------------
City | PORTLAND
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97225-5911
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-416-9922
-----------------------------------------------------
Fax | 503-416-9970
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11750 SW BARNES RD STE 300
-----------------------------------------------------
City | PORTLAND
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97225-5911
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-416-9922
-----------------------------------------------------
Fax | 503-416-9970
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ROBIN W BARRETT
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 503-416-9922
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------