Organization
PNW PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEO J URBINELLI MD (OWNER)
(503) 749-5512
Entity
Organization
Contact information
Practice address
5305 RIVER RD N STE B, KEIZER, OR 97303-5324
(503) 749-5512
Mailing address
5305 RIVER RD N STE B, KEIZER, OR 97303-5324
(503) 749-5512
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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