Oregon Outpatient Surgery Center LLC
Clinic/Center, Ambulatory Surgical in Tigard, OR. Organization (NPI-2).
NPI number1124026745
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1124026745
- Entity type
- Organization (NPI-2)
- Legal business name
- Oregon Outpatient Surgery Center LLC
- Organization subpart
- No
- Enumeration date
- Jul 8, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | 393476 | OR | Yes |
Practice location
7300 Sw Childs RdSuite A
Tigard, OR 97224-7713
Phone 503-612-8452 · Fax 503-207-5368
Mailing address
7300 Sw Childs RdSuite A
Tigard, OR 97224-7713
Phone 503-612-8452 · Fax 503-207-5368
Authorized official
Gale V Stovern
Business Manager
5036128452
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Other Ambulatory Surgical Clinic/Center providers in Tigard, OR
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All 5 Ambulatory Surgical Clinic/Center providers in Tigard · All 3,604 providers in Tigard
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