Organization · Type 2 NPI
Burnside Surgery Center LLC
Ambulatory Surgical Clinic/Center · Gresham, OR
NPI number
1013417351
Active
Practice location
689 NW Burnside Rd Fl 1
Gresham, OR 97030-3739
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | MD28526 (OR) |
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 07-1645 (OR) |
Ambulatory Surgical Clinic/Center: Definition to come...
Other ambulatory surgical clinic/center providers in Gresham
About NPI 1013417351
Burnside Surgery Center LLC's National Provider Identifier is 1013417351, issued on Feb 13, 2018. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Gresham, OR. The record was last updated on May 23, 2021.