302R00000X
Clackamas, OR
Specialty
302R00000X
Credential
LCSW, MSW
NPI
1265684955
9900 Se Sunnyside Rd., Clackamas, OR 97015
(800) 813-2000Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 302r00000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 302R00000X