OrganizationActive
Northwest Gastroenterology Clinic LLC
NPI 1407933872 · Specialist · Portland, OR
Provider details
- NPI number
- 1407933872
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Roland Bennetts, Partner(503) 229-7137
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1130 Nw 22nd Ave Ste 410
Portland, OR 97210-2911
Phone: (503) 229-7137
Fax: (503) 241-0628
Street-level locationGet directions
Mailing address
1130 Nw 22nd Ave Ste 410
Portland, OR 97210-2911
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2015-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.