Organization
ELITE ROBOTIC SURGICAL CONSULTANTS OF OREGON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN EVANS (EXECUTIVE ADMINISTRATOR)
(727) 480-2734
Entity
Organization
Contact information
Practice address
600 NW 11TH ST STE E10, HERMISTON, OR 97838-8602
(541) 667-3825
Mailing address
PO BOX 2286, REDONDO BEACH, CA 90278-7786
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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