Organization
NORTHWEST MINIMALLY INVASIVE SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL TSENG MD (PRESIDENT)
(503) 914-0024
Entity
Organization
Contact information
Practice address
1040 NW 22ND AVE STE 470, PORTLAND, OR 97210-3062
(503) 914-0024
(503) 914-0025
Mailing address
1040 NW 22ND AVE STE 470, PORTLAND, OR 97210-3062
(503) 914-0024
(503) 914-0025
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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