Pacific Surgical PC

NPI #1396792990 in Portland, Oregon

Provider Information

NPI Number: 1396792990
Entity Type: Organization
Organization Name: Pacific Surgical PC
Primary Specialty: Specialist
Enumeration Date: May 28, 2006
Last Updated: Nov 16, 2007

Practice Location

Address: 501 N GRAHAM ST
Address 2: SUITE 580
City: Portland
State: Oregon
ZIP Code: 97227-1654
Phone: (503) 528-0704

Authorized Official

Name: MR. KERRY LOWERY
Title: CEO
Phone: (503) 528-0704

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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