NPI 1538174461

Elisa A. Burgess, MD, PC

Organisation Plastic Surgery Physician Lake Oswego, OR

Practice location

Address: 16865 Boones Ferry Rd STE 101, Lake Oswego, OR 97035-5252
Phone: (503) 699-6464
Fax: (503) 699-6939
Mailing address: 3439 NE Sandy Blvd Pmb 375, Portland, OR 97232-1959

Authorised official

Name: Elisa a Burgess
Title: Owner
Phone: (503) 691-6201

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence MD18936 (OR)

Other Plastic Surgery providers in Oregon →

Registry record

NPI: 1538174461
Entity type: Organization
NPI issued: 29 Jul 2006
Record last updated: 2 Oct 2008

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.