Portland Surgical Oncology, Pc

NPI Provider: 1154327658
Contact Name: Friedman Ian Eric
Position: President
Phone: (503) 239-0092

Portland Surgical Oncology, Pc Information:

Portland Surgical Oncology, Pc organization have npi 1154327658, taxonomy code is 208600000X with license number is 36324 in . This Business address located in PO Box 2579, Portland, OR 97208 Oregon.

Practice Location
Address: 5050 NE Hoyt St, Portland, OR 97213
Phone: (503) 239-0092

Business Location
Address: PO Box 2579, Portland, OR 97208
Phone: (503) 356-9166
Fax: (503) 771-7221

Taxonomy

Taxonomy Code: 208600000X

License Number: 36324

License Number of State: KY

Primary Taxonomy Switch: Y

Enumeration Date: 6/21/2005

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