TOWER OCULOFACIAL PLASTIC SURGERY, PC
Ambulatory Health at Glisan St, Portland, OR

License number
Oregon MD24417
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: ROBERT NEILL TOWER M.D.
Title: PRESIDENT
Phone: (503) 227-5075
Address
Address
1211 NW Glisan St SUITE 201, Portland, OR 97209
National Provider ID: 1043562325
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TOWER OCULOFACIAL PLASTIC SURGERY, PC

1211 NW Glisan STE 201, Portland, OR 97209

Industry:
Medical Doctor's Office, Offices and Clinics of Medical Doctors, N
Registration:
Jul 6, 2012
State ID:
86788396
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Office Managers:
Robert N. Tower (Medical Doctor, President),Renee Gibson (Office Manager)
Agent:
Tt Administrative Services, Llc,888 SW 5 Ave STE 1600, Portland, OR 97204 (Physical)

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