101YA0400X
Clackamas, OR
Specialty
101YA0400X
Credential
MA, CADC I
NPI
1689488611
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 101ya0400x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 101YA0400X