Eastmoreland Surgical Clinic

LBN: Eastmoreland Surgical Clinic
Eastmoreland Surgical Clinic is an health care organization with primary practice located at 2804 Se Steele St # 2 , Portland OR 97202-4525. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Eastmoreland Surgical Clinic can be contacted via phone (503) 232-2163, or through Graham, William Madorin via phone (503) 232-2163.

Contact Information

Primary practice address
2804 Se Steele St # 2 Portland OR 97202-4525
Phone: (503) 232-2163
Fax: (503) 232-2164
Website:
Map and Directions
Authorized official contact:
Name: Graham, William Madorin Doctor of Osteopathy (DO)
Phone: (503) 232-2163

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1396775672
LBN Legal business name Eastmoreland Surgical Clinic
DBA Doing business as
Authorized official Graham, William Madorin Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2006
Last updated Aug 4th, 2009 - about 16 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 1396775672 NPPES
Other 8107633 DSHS

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