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Contact Information

ELISA A. BURGESS, MD, PC
16865 BOONES FERRY RD
STE 101
LAKE OSWEGO, OR97035-5252
 Phone: 503-699-6464
 Fax: 503-699-6939
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ELISA A. BURGESS, MD, PC

NPI Number 1538174461
LBN Legal business name ELISA A. BURGESS, MD, PC
Authorized official ELISA BURGESS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/29/2006
Last updated 10/02/2008 - About 18 years ago
Identifiers
OR License # MD18936
OR Medicaid 262368
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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