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Surgical Specialty Group Pc
Medical Specialty Clinic/Center in Portland, Oregon
NPI 1902978984

Surgical Specialty Group Pc is a Medical Specialty Clinic/Center based in Portland, OR and is specialized in Medical Specialty. Surgical Specialty Group Pc practices in Portland, OR. The NPI Number for Surgical Specialty Group Pc is 1902978984 and holds a License No. (Oregon).

The current practice location address for Surgical Specialty Group Pc is 511 Sw 10Th Avenue, Portland, OR and can be reached out via phone at 503-222-1615 and via fax at 503-222-0016.

Location: 511 Sw 10Th Avenue, Portland, OR, 97205-2708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902978984
Provider Name
Surgical Specialty Group Pc
Credential
Provider Entity Type
Organization
Address
511 Sw 10Th Avenue, Portland, OR, 97205-2708
Phone Number
503-222-1615
Fax Number
503-222-0016
Provider Enumeration Date
11/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
084061 05 OR
institution
Provider Business Practice Location Address Details
Address
511 Sw 10Th Avenue
City
Portland
State
Oregon
Zip
97205-2708
Phone Number
503-222-1615
Fax Number
503-222-0016
person
Provider Business Mailing Address Details
Address
511 Sw 10Th Avenue
City
Portland
State
Oregon
Zip
97205-2708
Phone Number
503-222-1615
Fax Number
503-222-0016
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
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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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