225B00000X
Portland, OR
Specialty
225B00000X
Credential
RRT
NPI
1366779019
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 225b00000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 225B00000X