Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eastmoreland Surgical Clinic

Organization Surgery Physician · NPI 1396775672

Eastmoreland Surgical Clinic is a Surgery Physician in Portland, Oregon. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

2804 SE Steele St # 2
Portland, OR 97202-4525
Phone: (503) 232-2163
Fax: (503) 232-2164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1396775672
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Graham — Owner · (503) 232-2163
NPI enumeratedJuly 3, 2006
Last updated in NPPESAugust 4, 2009
Mailing addressPo Box 610, Fairview, OR 97024-0610

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