Willamette Spine Center Ambulatory Surgery LLC
Clinic/Center, Ambulatory Surgical in Salem, OR. Organization (NPI-2).
NPI number1881694792
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1881694792
- Entity type
- Organization (NPI-2)
- Legal business name
- Willamette Spine Center Ambulatory Surgery LLC
- Organization subpart
- No
- Enumeration date
- Jul 21, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | OR | Yes |
Other names
- Liberty Surgery Center (Doing Business As)
Practice location
2480 Liberty St NeSuite 120
Salem, OR 97303-6780
Phone 503-485-2290
Mailing address
Po Box 1267Portland, OR 97207-1267
Phone 503-485-2290
Authorized official
D Kay Nemec
Administrator
5034852290
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