208200000X
Clackamas, OR
Specialty
208200000X
Credential
M.D.
NPI
1821312760
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 208200000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 208200000X