Organization · Type 2 NPI

Providence Health & Services - Oregon

Surgery Physician · Oregon City, OR

NPI number 1730411034 Active

Practice location

1510 Division St, Suite 210
Oregon City, OR 97045-1599

Fax (503) 723-6508

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XNone listed
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000XNone listed
Clinic/Center 261Q00000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1730411034

Providence Health & Services - Oregon's National Provider Identifier is 1730411034, issued on Feb 11, 2010. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Oregon City, OR. The record was last updated on Jun 30, 2025.