OrganizationActive
Nicholas Fogelson MD LLC
NPI 1316436785 · Gynecology Physician · Portland, OR
Provider details
- NPI number
- 1316436785
- Entity type
- Organization
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nicholas Fogelson, Medical Director(503) 715-1377
- License
- 173545 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
511 Sw 10th Ave Ste 907
Portland, OR 97205-2710
Phone: (503) 715-1377
Fax: (503) 771-2717
Street-level locationGet directions
Mailing address
511 Sw 10th Ave Ste 907
Portland, OR 97205-2710
Other names (DBA / former)
- Doing business as
- Northwest Endometriosis and Pelvic Surgery
Registry dates
- Enumerated
- 2018-05-01
- Last updated
- 2021-07-05
- Certified
- 2021-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.