Organization
PORTLAND PLASTIC SURGERY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILLI JO NOWKA (OFFICE MANAGER)
(503) 928-3001
Entity
Organization
Contact information
Practice address
1200 NW NAITO PKWY STE 310, PORTLAND, OR 97209-2829
(503) 292-9200
(503) 292-9205
Mailing address
1200 NW NAITO PKWY STE 310, PORTLAND, OR 97209-2829
(503) 292-9200
(503) 292-9205
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
OR
Other
Enumeration date
02/14/2014
Last updated
10/13/2015
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