Oregon Plastic Surgeons Asc

NPI 1205099017 - Clinic/Center - 261QA1903X

NPI Details
NPI 1205099017
Enumeration Date 07/02/2008
Last Updated 07/02/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name BRUCE BRUCE
Position PRESIDENT
Phone (503) 561-7000
Fax
Practice Location
875 OAK ST SE
SUITE 4060
SALEM OR, 97301-3975, US
Phone (503) 561-7000
Fax
Business Location
875 OAK ST SE
#4060
SALEM OR, 97301-3975, US
Phone
Fax
Toxanomy
Taxonomy Code 261QA1903X
License State Oregon
License Number 071544
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According to our database, Oregon Plastic Surgeons Asc NPI is 1205099017, taxonomy code is 261QA1903X and license number is 071544, license state is located at Oregon. Oregon Plastic Surgeons Asc physically located at 875 Oak St Se, Salem OR, 97301-3975. NPI Number 1033115704 has the healthcare provider type.

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1205099017 NPI number is provided on an as is basis without warranty of any kind. 1205099017 is maintained by the National Plan & Provider Enumeration System. The contents of Oregon Plastic Surgeons Asc are for informational purposes only.