1041C0700X
Portland, OR
Specialty
1041C0700X
NPI
1164532230
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 1041c0700x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 1041C0700X