207XX0005X
Clackamas, OR
Specialty
207XX0005X
Credential
MD
NPI
1750763017
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 207xx0005x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 207XX0005X