ELITE ROBOTIC SURGICAL CONSULTANTS OF OREGON PC – NPI #1245190768
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

ELITE ROBOTIC SURGICAL CONSULTANTS OF OREGON PC is an urologist located in HERMISTON, OR. NPPES has assigned the NPI number 1245190768 to ELITE ROBOTIC SURGICAL CONSULTANTS OF OREGON PC on November 17, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELITE ROBOTIC SURGICAL CONSULTANTS OF OREGON PC below.

NPI Profile for
ELITE ROBOTIC SURGICAL CONSULTANTS OF OREGON PC

NPI Number
1245190768
Enumeration Date

(about 7 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ELITE ROBOTIC SURGICAL CONSULTANTS OF OREGON PC
Primary location
600 NW 11TH ST STE E10
HERMISTON, OR 97838-8602
Phone: (541) 667-3825 Fax:
1 Other location(s):
2801 NW Mercy Dr Ste 350
Roseburg, OR 97471-2349
Phone: (541) 464-4566
Mailing address
PO BOX 2286
REDONDO BEACH, CA 90278-7786
Phone: Fax:
Organization Subpart
No
Authorized Official
JACLYN EVANS
EXECUTIVE ADMINISTRATOR
Phone: (727) 480-2734
Updated
Certification Date
Nov 17, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.