Whalio Doctors

NPI 1003805417

Elisa a Burgess, MD

Practitioner Plastic Surgery Physician Lake Oswego, OR

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

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.