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Elisa Burgess MD NPI 1003805417

Classification
Plastic Surgery
Type
License No.
MD18936
License State
OR
Certified
Location

Additional Identifiers

Medical School
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
1992
Identifier
Type
State
Identifier: R0000110016
Type: MEDICARE ID-TYPE UNSPECIFIED (04)
State: OR
Identifier: H44122
Type: MEDICARE UPIN (02)
State:

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
16865 BOONES FERRY RD, LAKE OSWEGO, OR, 970355280
Business Phone
503-699-6464
Mailing Address
3439 NE SANDY BLVD, PORTLAND, OR, 972321959
Mailing Phone
503-284-8841
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