Northeast Oregon Surgical Clinic

NPI 1053595603 - Surgery - 208600000X

NPI Details
NPI 1053595603
Enumeration Date 12/18/2007
Last Updated 10/22/2013
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ANDREW L ANDREW
Position GENERAL SURGEON
Phone (541) 966-1001
Fax (541) 966-1195
Practice Location
2474 S.W. PERKINS AVE
PENDLETON OR, 97801, US
Phone (541) 966-1001
Fax (541) 966-1195
Business Location
2474 S. W. PERKINS AVE
PENDLETON OR, 97801, US
Phone (541) 966-1001
Fax (541) 966-1195
Toxanomy
Taxonomy Code 208600000X
License State Oregon
License Number MD26075
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According to our database, Northeast Oregon Surgical Clinic NPI is 1053595603, taxonomy code is 208600000X and license number is MD26075, license state is located at Oregon. Northeast Oregon Surgical Clinic physically located at 2474 S.w. Perkins Ave, Pendleton OR, 97801. NPI Number 1033115704 has the healthcare provider type.

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1053595603 NPI number is provided on an as is basis without warranty of any kind. 1053595603 is maintained by the National Plan & Provider Enumeration System. The contents of Northeast Oregon Surgical Clinic are for informational purposes only.