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

Address
689 NW BURNSIDE RD FL 1
State
Oregon
ZIP Code
97030-3739
Phone
(503) 382-8140

Authorized Official

Name
DR. OLEG MAKSIMOV
Title
DIRECTOR
Phone
(503) 915-9217

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation - Pain MedicinePain Medicine
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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