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

Northwest Gastroenterology Clinic LLC

Organization Specialist · NPI 1407933872

Northwest Gastroenterology Clinic LLC is a Specialist in Portland, Oregon. Registered with an NPI since 2006.

In the registry since
2006
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

1130 NW 22nd Ave Ste 410
Portland, OR 97210-2911
Phone: (503) 229-7137
Fax: (503) 241-0628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1407933872
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roland Bennetts — Partner · (503) 229-7137
NPI enumeratedNovember 1, 2006
Last updated in NPPESJune 15, 2015
Mailing address1130 Nw 22nd Ave Ste 410, Portland, OR 97210-2911

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