101YM0800X
Portland, OR
Specialty
101YM0800X
Credential
M.ED
NPI
1922193846
3500 N Interstate Ave., Portland, OR 97227
(800) 813-2000Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 101ym0800x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 101YM0800X