207XS0106X
Portland, OR
Specialty
207XS0106X
Credential
MD
NPI
1801125521
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 207xs0106x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 207XS0106X