Provider Demographics
NPI:1467094342
Name:GYNKNOW LLC
Entity Type:Organization
Organization Name:GYNKNOW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADSIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-307-9968
Mailing Address - Street 1:1631 WOODS CT STE 103
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-2916
Mailing Address - Country:US
Mailing Address - Phone:541-387-0244
Mailing Address - Fax:541-436-4766
Practice Address - Street 1:1631 WOODS CT STE 103
Practice Address - Street 2:
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-2916
Practice Address - Country:US
Practice Address - Phone:541-436-4766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-12
Last Update Date:2020-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty