NPI 1003805417
Elisa a Burgess, MD
Practice location
- Address
- 16865 Boones Ferry Rd Suite 101, Lake Oswego, OR 97035-5280
- Phone
- (503) 699-6464
- Fax
- (503) 699-6939
- Mailing address
- 3439 NE Sandy Blvd Pmb 375, Portland, OR 97232-1959
Registered specialties
Plastic Surgery Physician
Primary
Registry record
- NPI
- 1003805417
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Oct 2005
- Record last updated
- 4 Nov 2011
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.