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

Mt Hood General and Vascular Surgeons LLC

Organization Surgery Physician · NPI 1710106687

Mt Hood General and Vascular Surgeons LLC provides Surgery Physician services in Lake Oswego, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17040 Pilkington Rd Ste 208
Lake Oswego, OR 97035-5587 Not confirmed with CMS for 13 years — call before visiting
Phone: (503) 636-0776
Fax: (503) 675-5101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence MD11807 (OR)
Surgery Physician Taxonomy 208600000X · Licence MD11822 (OR)

Record details

NPI number1710106687
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Doreen Rouse — Office Manager · (503) 636-0776
NPI enumeratedApril 25, 2007
Last updated in NPPESOctober 8, 2012
Mailing address17040 Pilkington Rd, Suite 208, Lake Oswego, OR 97035-5587

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