Most Relevant Information
Provider Data
| NPI Number: | 1003805417 |
| Provider Name: | ELISA A BURGESS MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208200000X |
| Specialty: | Plastic Surgery |
| License Number: | MD18936 |
Most Important Dates
| Enumeration Date: | 10/18/2005 |
| Last Updated: | 11/04/2011 |
Provider Practice Location
16865 BOONES FERRY RD
SUITE 101
LAKE OSWEGO
OR
970355280
Practice Location Phone/Fax
| Phone: | 5036996464 |
| Fax: | 5036996939 |
Provider Mailing Location
3439 NE SANDY BLVD
PMB 375
PORTLAND
OR
972321959
Provider Mailing Phone/Fax
| Phone: | 5032848841 |
| Fax: | 5032823302 |