institution
Oregon Weight Loss Surgery Llc
Specialist in Portland, Oregon
NPI 1497760045

Oregon Weight Loss Surgery Llc is a Specialist based in Portland, OR. Oregon Weight Loss Surgery Llc practices in Portland, OR. The NPI Number for Oregon Weight Loss Surgery Llc is 1497760045 and holds a License No. 12694364 (Oregon).

The current practice location address for Oregon Weight Loss Surgery Llc is 825 Ne 20Th Ave Ste 340, Portland, OR and can be reached out via phone at 503-227-5050 and via fax at 503-227-2462.

Location: 825 Ne 20Th Ave Ste 340, Portland, OR, 97232-2275
institution
Provider Profile Details
NPI Number
1497760045
Provider Name
Oregon Weight Loss Surgery Llc
Credential
Provider Entity Type
Organization
Address
825 Ne 20Th Ave Ste 340, Portland, OR, 97232-2275
Phone Number
503-227-5050
Fax Number
503-227-2462
Provider Enumeration Date
07/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DF6325 01 OR RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
825 Ne 20Th Ave Ste 340
City
State
Zip
97232-2275
Phone Number
503-227-5050
Fax Number
503-227-2462
person
Provider Business Mailing Address Details
Address
825 Ne 20Th Ave Ste 340
City
State
Zip
97232-2275
Phone Number
503-227-5050
Fax Number
503-227-2462
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
12694364 (Oregon)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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