National Provider Identifier Database

NICHOLAS FOGELSON MD LLC
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

NICHOLAS FOGELSON MD LLC
511 SW 10TH AVE STE 907
PORTLAND, OR97205-2710
Phone: 503-715-1377
Fax: 503-771-2717
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for NICHOLAS FOGELSON MD LLC

NPI Number 1316436785
Legal business name
LBN
NICHOLAS FOGELSON MD LLC
Authorized official NICHOLAS FOGELSON - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 05/01/2018
Last updated 07/05/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • OR License #: 173545

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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