Individual
DR. ELISA A BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16865 BOONES FERRY RD, SUITE 101, LAKE OSWEGO, OR 97035-5280
(503) 699-6464
(503) 699-6939
Mailing address
3439 NE SANDY BLVD, PMB 375, PORTLAND, OR 97232-1959
(503) 284-8841
(503) 282-3302
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD18936
OR
Other
Enumeration date
10/18/2005
Last updated
11/04/2011
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