Organization · Type 2 NPI

Portland Joint Reconstruction Clinic, P.c.

Adult Reconstructive Orthopaedic Surgery Physician · Portland, OR

NPI number 1619205440 Active

Practice location

5050 NE Hoyt St, Suite 668
Portland, OR 97213-2991

Fax (503) 239-9459

Mailing address

5050 NE Hoyt Street, Suite 668
Portland, OR 97213-2990

Specialties and licenses

TaxonomyCodeLicense
Adult Reconstructive Orthopaedic Surgery Physician Primary 207XS0114XMD11185 (OR)

Adult Reconstructive Orthopaedic Surgery Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

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About NPI 1619205440

Portland Joint Reconstruction Clinic, P.c.'s National Provider Identifier is 1619205440, issued on Dec 7, 2009. The primary taxonomy on file is Adult Reconstructive Orthopaedic Surgery Physician (207XS0114X), and the practice location is in Portland, OR. The record was last updated on Dec 7, 2009.