Organization
OREGON WEIGHT LOSS SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA J PATTERSON MD (GENERAL MANAGER)
(503) 227-5050
Entity
Organization
Contact information
Practice address
825 NE 20TH AVE STE 340, PORTLAND, OR 97232-2275
(503) 227-5050
(503) 227-2462
Mailing address
825 NE 20TH AVE STE 340, PORTLAND, OR 97232-2275
(503) 227-5050
(503) 227-2462
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12694364
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF6325
RAILROAD MEDICARE
OR
Enumeration date
07/30/2006
Last updated
10/06/2020
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