Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicholas Fogelson MD LLC

Organization Gynecology Physician · NPI 1316436785

Nicholas Fogelson MD LLC is a Gynecology Physician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2018.

Licensed in
OR
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

511 SW 10th Ave Ste 907
Portland, OR 97205-2710
Phone: (503) 715-1377
Fax: (503) 771-2717
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence 173545 (OR)

Record details

NPI number1316436785
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Fogelson — Medical Director · (503) 715-1377
Other names Northwest Endometriosis And Pelvic Surgery
NPI enumeratedMay 1, 2018
Last updated in NPPESJuly 5, 2021
Certification dateJuly 5, 2021
Mailing address511 Sw 10th Ave Ste 907, Portland, OR 97205-2710

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