Burnside Surgery Center LLC
NPI #1013417351 in Gresham, Oregon
Provider Information
- NPI Number
- 1013417351
- Entity Type
- Organization
- Organization Name
- Burnside Surgery Center LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Feb 13, 2018
- Last Updated
- May 23, 2021
Practice Location
Authorized Official
- Name
- DR. OLEG MAKSIMOV
- Title
- DIRECTOR
- Phone
- (503) 915-9217
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine |
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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| Stark Street Plaza, LLC | |
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