institution
East Portland Surgery Center Llc
Ambulatory Surgical Clinic/Center in Happy Valley, Oregon
NPI 1417287137

East Portland Surgery Center Llc is an Ambulatory Surgical Clinic/Center based in Dallas, OR and is specialized in Ambulatory Surgical. East Portland Surgery Center Llc practices in Happy Valley, OR. The NPI Number for East Portland Surgery Center Llc is 1417287137 and holds a License No. 07-1604 (Oregon).

The current practice location address for East Portland Surgery Center Llc is 9200 Se 91St Ave, Happy Valley, OR and can be reached out via phone at 503-772-6160 and via fax at 503-772-6161. You can also correspond with East Portland Surgery Center Llc through the mailing address at 14201 DALLAS PKWY, DALLAS, TX - 75254-2916 (mailing address contact number: 469-893-2500).

Location: 9200 Se 91St Ave, Happy Valley, OR, 75254-2916
institution
Provider Profile Details
NPI Number
1417287137
Provider Name
East Portland Surgery Center Llc
Credential
Provider Entity Type
Organization
Address
9200 Se 91St Ave, Happy Valley, OR, 75254-2916
Phone Number
503-772-6160
Fax Number
503-772-6161
Provider Enumeration Date
12/31/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500624087 05 OR
P00864506 01 OR RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
9200 Se 91St Ave
City
State
Zip
97086-3756
Phone Number
503-772-6160
Fax Number
503-772-6161
person
Provider Business Mailing Address Details
Address
9200 Se 91St Ave
City
State
Zip
97086-3756
Phone Number
503-772-6160
Fax Number
503-772-6161
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
07-1604 (Oregon)
Definition
Definition to come...
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