171M00000X
Portland, OR
Specialty
171M00000X
Credential
MA
NPI
1528122553
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 171m00000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 171M00000X