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EASTMORELAND SURGICAL CLINIC
NPI 1396775672
Surgery in Portland, OR

Active since July 03, 2006
2804 SE STEELE ST # 2, PORTLAND, OR 97202(503) 232-2163(503) 232-2164 Get Directions Write a Review

NPPES record last updated: August 4, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastmoreland Surgical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTMORELAND SURGICAL CLINIC (NPI 1396775672) is a healthcare organization registered as a surgery in Portland, Oregon and active in the NPI registry since July 2006. The organization lists William Madorin Graham, Owner, as its authorized official.

NPPES Registry Identity

NPI1396775672
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameEASTMORELAND SURGICAL CLINIC
Location Address2804 SE STEELE ST # 2Portland, OR 97202-4525
Mailing AddressPo Box 610Fairview, OR 97024-0610 · (503) 963-1200 · Fax (425) 259-6300
Phone(503) 232-2163
Fax(503) 232-2164
Organization SubpartNo
Authorized OfficialWilliam Madorin GrahamOwner · (503) 232-2163
Enumeration DateJuly 3, 2006
Last NPPES UpdateAugust 4, 2009
✔ NPI 1396775672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2804 SE STEELE ST # 2, Portland, OR 97202
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Other Identifiers 3

Other8107633Dshs
Medicare UPINC90873
Medicare ID-Type UnspecifiedR00WCJTWB

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastmoreland Surgical Clinic's NPI number?

The NPI number for Eastmoreland Surgical Clinic is 1396775672. It was assigned to this organization in the NPPES registry on July 3, 2006.

Where is Eastmoreland Surgical Clinic located?

Eastmoreland Surgical Clinic is located at 2804 SE Steele St # 2, Portland, OR 97202. The listed phone number is (503) 232-2163.

What is Eastmoreland Surgical Clinic's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Eastmoreland Surgical Clinic was last updated on August 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.