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Organization

OREGON SPINE CARE LLC

Active
Other names
Oregon Spine Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT L TATSUMI MD (OWNER)
(503) 828-1150
Entity
Organization

Contact information

Practice address
19255 SW 65TH AVE, SUITE 200, TUALATIN, OR 97062-7451
(503) 828-1150
(503) 828-1160
Mailing address
19255 SW 65TH AVE, SUITE 200, TUALATIN, OR 97062-7451
(503) 828-1150
(503) 828-1160

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD26166
OR

Other

Enumeration date
11/02/2013
Last updated
10/01/2018
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