Individual
CLAUDE F BURGOYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 NW 22ND AVE #200, DEVERS EYE INSTITUTE, PORTLAND, OR 97210
(503) 413-8202
(503) 413-6937
Mailing address
1040 NW 22ND AVE #200, PORTLAND, OR 97210
(503) 413-8202
(503) 413-6937
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD26350
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1973742
—
OR
Enumeration date
09/26/2006
Last updated
07/08/2007
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