Eastmoreland Surgical Clinic

NPI #1396775672 in Portland, Oregon

Provider Information

NPI Number: 1396775672
Entity Type: Organization
Organization Name: Eastmoreland Surgical Clinic
Primary Specialty: Surgery
Enumeration Date: Jul 3, 2006
Last Updated: Aug 4, 2009

Practice Location

Address: 2804 SE STEELE ST # 2
City: Portland
State: Oregon
ZIP Code: 97202-4525
Phone: (503) 232-2163

Authorized Official

Name: WILLIAM MADORIN GRAHAM, DO
Title: OWNER
Phone: (503) 232-2163

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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