Eastmoreland Surgical Clinic

NPI 1396775672 - Surgery - 208600000X

NPI Details
NPI 1396775672
Enumeration Date 07/03/2006
Last Updated 08/04/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name WILLIAM MADORIN WILLIAM
Position OWNER
Phone (503) 232-2163
Fax (503) 232-2164
Practice Location
2804 SE STEELE ST # 2
PORTLAND OR, 97202-4525, US
Phone (503) 232-2163
Fax (503) 232-2164
Business Location
PO BOX 610
FAIRVIEW OR, 97024-0610, US
Phone (503) 963-1200
Fax (425) 259-6300
Toxanomy
Taxonomy Code 208600000X
License State
License Number
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According to our database, Eastmoreland Surgical Clinic NPI is 1396775672, taxonomy code is 208600000X Eastmoreland Surgical Clinic physically located at 2804 Se Steele St # 2, Portland OR, 97202-4525. NPI Number 1033115704 has the healthcare provider type.

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1396775672 NPI number is provided on an as is basis without warranty of any kind. 1396775672 is maintained by the National Plan & Provider Enumeration System. The contents of Eastmoreland Surgical Clinic are for informational purposes only.