2279G1100X
Portland, OR
Specialty
2279G1100X
Credential
LRCP, RRT
NPI
1255581385
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 2279g1100x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 2279G1100X