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Oregon Spine Care LLC

Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Tualatin, OR. Organization (NPI-2).

NPI number1376972182
StatusActive
Last updated in NPPESOct 1, 2018

Details

NPI
1376972182
Entity type
Organization (NPI-2)
Legal business name
Oregon Spine Care LLC
Organization subpart
No
Enumeration date
Nov 2, 2013
Last updated
Oct 1, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the SpineMD26166ORYes

Other names

  • Oregon Spine Care (Doing Business As)

Practice location

19255 Sw 65th Ave
Suite 200
Tualatin, OR 97062-7451

Phone 503-828-1150 · Fax 503-828-1160

Mailing address

19255 Sw 65th Ave
Suite 200
Tualatin, OR 97062-7451

Phone 503-828-1150 · Fax 503-828-1160

Authorized official

Robert L Tatsumi
Owner
5038281150

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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