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Tower Oculofacial Plastic Surgery, Pc
Medical Specialty Clinic/Center in Portland, Oregon
NPI 1043562325

Tower Oculofacial Plastic Surgery, Pc is a Medical Specialty Clinic/Center based in Portland, OR and is specialized in Medical Specialty. Tower Oculofacial Plastic Surgery, Pc practices in Portland, OR. The NPI Number for Tower Oculofacial Plastic Surgery, Pc is 1043562325 and holds a License No. MD24417 (Oregon).

The current practice location address for Tower Oculofacial Plastic Surgery, Pc is 1211 Nw Glisan St, Portland, OR and can be reached out via phone at 503-227-5075 and via fax at 503-241-2793.

Location: 1211 Nw Glisan St, Portland, OR, 97209-3054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043562325
Provider Name
Tower Oculofacial Plastic Surgery, Pc
Credential
Provider Entity Type
Organization
Address
1211 Nw Glisan St, Portland, OR, 97209-3054
Phone Number
503-227-5075
Fax Number
503-241-2793
Provider Enumeration Date
10/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1211 Nw Glisan St
City
Portland
State
Oregon
Zip
97209-3054
Phone Number
503-227-5075
Fax Number
503-241-2793
person
Provider Business Mailing Address Details
Address
1211 Nw Glisan St
City
Portland
State
Oregon
Zip
97209-3054
Phone Number
503-227-5075
Fax Number
503-241-2793
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
MD24417 (Oregon)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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