Eastmoreland Surgical Clinic

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

EASTMORELAND SURGICAL CLINIC

Practice address

2804 SE Steele St # 2
Portland, OR 97202-4525

Phone

(503) 232-2163

Fax

(503) 232-2164

NPI assigned

Jul 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Madorin Graham, DO

Title

Owner

Phone

(503) 232-2163

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Moir M Budden, MD

  • Surgery Physician
  • Portland, OR
  • NPI 1154471308
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1396775672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 610",
            "city": "FAIRVIEW",
            "state": "OR",
            "postal_code": "970240610",
            "telephone_number": "503-963-1200",
            "fax_number": "425-259-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 SE STEELE ST # 2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972024525",
            "telephone_number": "503-232-2163",
            "fax_number": "503-232-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTMORELAND SURGICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MADORIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-232-2163",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "8107633",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn Ellis Eastes, ACNP
• Anne Margaret Eastman, PH. D.
• Bruce L Eastman, FNP
• Laura Eastmond, DPT
• Eastmoreland Orthopedic Clinic, P.C.
• Eastport Plaza Dental P.C.
• Eastside Counseling LLC
• Eastside Electrology
• Eastside Electrology of Portland
• Eastside Foot and Ankle

• Surgery Physician in Portland, OR
• Providers in Portland, OR by specialty
• Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.