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1003805417
ELISA A BURGESS
LAKE OSWEGO, OR
NPI
1003805417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208200000X Plastic Surgery
(Licence: OR MD18936)
Enumeration Date
2005-10-18
Last Update Date
2011-11-04
Business Address
Dr. ELISA A BURGESS MD
16865 BOONES FERRY RD SUITE 101
LAKE OSWEGO, OR 97035-5280
Phone number: 503-699-6464
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Mailing Address
Dr. ELISA A BURGESS MD
3439 NE SANDY BLVD PMB 375
PORTLAND, OR 97232-1959
Phone number: 503-284-8841
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