Organization · Type 2 NPI
MT Hood General and Vascular Surgeons LLC
Vascular Surgery Physician · Lake Oswego, OR
NPI number
1710106687
Active
Practice location
17040 Pilkington Rd, Suite 208
Lake Oswego, OR 97035-5587
Fax (503) 675-5101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | MD11822 (OR) |
| Vascular Surgery Physician Primary | 2086S0129X | MD11807 (OR) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
About NPI 1710106687
MT Hood General and Vascular Surgeons LLC's National Provider Identifier is 1710106687, issued on Apr 25, 2007. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Lake Oswego, OR. The record was last updated on Oct 8, 2012.