Elisa A Burgess in Lake Oswego - Plastic Surgery
Elisa A Burgess - NPI 1003805417
Elisa A Burgess is a Plastic Surgery in Lake Oswego, Oregon. Elisa A Burgess practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Elisa A Burgess is 1003805417. The last update date is 2011-11-04.
Elisa A Burgess's current location address is 16865 Boones Ferry Rd, Lake Oswego, Oregon. You can contact this provider via phone number 5036996464 and fax number 5036996939. The mailing address for Elisa A Burgess is 16865 Boones Ferry Rd, Lake Oswego, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elisa A Burgess |
|---|---|
| Address | 16865 Boones Ferry Rd, Lake Oswego, Oregon |
| Phone Number | 5036996464 |
| Fax Number | 5036996939 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1003805417 |
|---|---|
| Provider Enumeration Date | 2005-10-18 |
| Last Updated Date | 2011-11-04 |
Provider Mailing Address Detail
| Address | 16865 Boones Ferry Rd |
|---|---|
| City | Lake Oswego |
| State | Oregon (OR) |
| Post Code | 970355280 |
| Phone Number | 5036996464 |
| Fax Number | 5036996939 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | MD18936 |
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Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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Post Comment/ Review Below
What is the unique identifier code issued to Elisa A Burgess by the Centers for Medicare & Medicaid Services?
The Elisa A Burgess has been assigned the NPI (National Provider Identifier) 1003805417. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Elisa A Burgess's physical address?
The Elisa A Burgess is physically located at 16865 Boones Ferry Rd, in the city of Lake Oswego, OR, with the postal code 970355280.
What is the Elisa A Burgess's specialty and taxonomy code?
The Elisa A Burgess's specialty is Plastic Surgery, and the corresponding taxonomy code is 208200000X.
On what date did the Elisa A Burgess receive the assignment of its 1003805417 from the Centers for Medicare & Medicaid Services?
The Elisa A Burgess was issued its 1003805417 by the Centers for Medicare & Medicaid Services on 2005-10-18.
As of what date was the information regarding Elisa A Burgess, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Elisa A Burgess, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-11-04.
NPI Number: 1699778829
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