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Organization
CORNELL PAIN CLINIC
Active
Organization
CORNELL PAIN CLINIC
Active
Other names
Suresh Chand MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURESH CHAND MD (PHYSICIAN)
(503) 376-9200
Entity
Organization
Contact information
Practice address
15455 NW GREENBRIER PKWY STE 130, BEAVERTON, OR 97006
(503) 376-9200
(503) 376-9201
Mailing address
15455 NW GREENBRIER PKWY STE 130, BEAVERTON, OR 97006-8115
(503) 376-9200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
MD178982
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500710995
—
OR
Enumeration date
03/16/2018
Last updated
06/28/2018
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