Organization
MIA E SKOURTIS, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIA E SKOURTIS (MD)
(503) 232-3242
Entity
Organization
Contact information
Practice address
5050 NE HOYT ST, SUITE 515, PORTLAND, OR 97213-2991
(503) 232-3242
(503) 236-7581
Mailing address
5050 NE HOYT ST, SUITE 515, PORTLAND, OR 97213-2991
(503) 232-3242
(503) 236-7581
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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