Portland Surgical Specialists, Pc

LBN: Portland Surgical Specialists, Pc
Portland Surgical Specialists, Pc is an health care organization with primary practice located at 9200 Se 91St Ave #320, Portland OR 97086. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Portland Surgical Specialists, Pc can be contacted via phone (503) 353-3005, or through Eubanks, Thomas R. via phone (503) 353-3005.

Contact Information

Primary practice address
9200 Se 91St Ave #320 Portland OR 97086
Phone: (503) 353-3005
Fax: (503) 546-3201
Website:
Map and Directions
Authorized official contact:
Name: Eubanks, Thomas R. Doctor of Osteopathy (DO)
Phone: (503) 353-3005

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1609914605
LBN Legal business name Portland Surgical Specialists, Pc
DBA Doing business as
Authorized official Eubanks, Thomas R. Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Jun 8th, 2011 - about 15 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 1609914605 NPPES
Oregon MEDICAID 278453
Oregon Other 858363000

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