NPI: 1932464492 · PORTLAND, OR 97210 · Certified Registered Nurse Anesthetist · NPI assigned 07/11/2012
| Authorized Official | BENNETTS, ROLAND (OWNER) |
| NPI Enumeration Date | 07/11/2012 |
Other providers sharing the same authorized official: BENNETTS, ROLAND
| Provider | City | State | Total Paid |
|---|---|---|---|
| NGC ENDOSCOPY SERVICES LLC | PORTLAND | OR | $1.59M |
| NORTHWEST GASTROENTEROLOGY CLINIC LLC | PORTLAND | OR | $337K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 28 | $2K |
| 2023 | 25 | $3K |
| 2024 | 25 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00812 | 78 | 73 | $8K |