Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Eastmoreland Surgical Clinic

Organization Surgery Physician · NPI 1396775672

Eastmoreland Surgical Clinic provides Surgery Physician services 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 Not confirmed with CMS for 17 years — call before visiting
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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