NPI 1013417351

Burnside Surgery Center LLC

Organisation Ambulatory Surgical Clinic/Center Gresham, OR

Practice location

Address: 689 NW Burnside Rd Fl 1, Gresham, OR 97030-3739
Phone: (503) 382-8140

Authorised official

Name: Oleg Maksimov
Title: Director
Phone: (503) 915-9217

Registered specialties (2)

Ambulatory Surgical Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QA1903X Licence 07-1645 (OR)

Other Clinic/Center providers in Oregon →

Pain Medicine (Physical Medicine & Rehabilitation) Physician

Allopathic & Osteopathic Physicians Taxonomy 2081P2900X Licence MD28526 (OR)

Other Physical Medicine & Rehabilitation providers in Oregon →

Registry record

NPI: 1013417351
Entity type: Organization
NPI issued: 13 Feb 2018
Record last updated: 23 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.