Elisa A. Burgess, Md, Pc

LBN: Elisa A. Burgess, Md, Pc
Elisa A. Burgess, Md, Pc is an health care organization with primary practice located at 16865 Boones Ferry Rd Ste 101, Lake Oswego OR 97035-5252. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Elisa A. Burgess, Md, Pc can be contacted via phone (503) 699-6464, or through Burgess, Elisa A via phone (503) 691-6201.

Contact Information

Primary practice address
16865 Boones Ferry Rd Ste 101 Lake Oswego OR 97035-5252
Phone: (503) 699-6464
Fax: (503) 699-6939
Website:
Map and Directions
Authorized official contact:
Name: Burgess, Elisa A Doctor of Medicine (MD)
Phone: (503) 691-6201

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD18936 Oregon

Profile Details

NPI number 1538174461
LBN Legal business name Elisa A. Burgess, Md, Pc
DBA Doing business as
Authorized official Burgess, Elisa A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2006
Last updated Oct 2nd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538174461 NPPES
Oregon MEDICAID 262368

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