Organization
CORNELL PAIN CLINIC LLC
Active
Other names
Cornell Pain Clinic, Suresh Chand MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURESH CHAND MD (MEDICAL DIRECTOR)
(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
(503) 376-9201
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
MD178982
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500710995
—
OR
Enumeration date
01/16/2018
Last updated
06/28/2018
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