Elisa A Burgess MD

NPI 1003805417 - Plastic Surgery - 208200000X

NPI Details
NPI 1003805417
Gender Female
Enumeration Date 10/18/2005
Last Updated 11/04/2011
Entity Type Individual
Active Over 12 years ago
Practice Location
16865 BOONES FERRY RD
SUITE 101
LAKE OSWEGO OR, 97035-5280, US
Phone (503) 699-6464
Fax (503) 699-6939
Business Location
3439 NE SANDY BLVD
PMB 375
PORTLAND OR, 97232-1959, US
Phone (503) 284-8841
Fax (503) 282-3302
Toxanomy
Taxonomy Code 208200000X
License State Oregon
License Number MD18936
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According to our database, Dr. Elisa A Burgess MD NPI is 1003805417, taxonomy code is 208200000X and license number is MD18936, license state is located at Oregon. Elisa A Burgess MD physically located at 16865 Boones Ferry Rd, Lake Oswego OR, 97035-5280. NPI Number Elisa A Burgess MD has the Individual type.

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1003805417 NPI number is provided on an as is basis without warranty of any kind. 1003805417 is maintained by the National Plan & Provider Enumeration System. The contents of Elisa A Burgess MD are for informational purposes only.