1041C0700X
Clackamas, OR
Specialty
1041C0700X
Credential
LCSW
NPI
1598914368
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 1041c0700x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 1041C0700X