Organization
CORNELL PAIN CLINIC
Active
Other names
Suresh Chand MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURESH CHAND MD (PHYSICIAN)
(503) 376-9200
Entity
Organization
Contact information
Practice address
15455 NW GREENBRIER PKWY STE 130, BEAVERTON, OR 97006
(503) 376-9200
(503) 376-9201
Mailing address
15455 NW GREENBRIER PKWY STE 130, BEAVERTON, OR 97006-8115
(503) 376-9200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
MD178982
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500710995
—
OR
Enumeration date
03/16/2018
Last updated
06/28/2018
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