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Pony Creek Annex, Llc
Ambulatory Surgical Clinic/Center in North Bend, Oregon
NPI 1538736459

Pony Creek Annex, Llc is an Ambulatory Surgical Clinic/Center based in North Bend, OR and is specialized in Ambulatory Surgical. Pony Creek Annex, Llc practices in North Bend, OR. The NPI Number for Pony Creek Annex, Llc is 1538736459 and holds a License No. (Oregon).

The current practice location address for Pony Creek Annex, Llc is 2075 Public Square Court, North Bend, OR and can be reached out via phone at 541-297-9551.

Location: 2075 Public Square Court, North Bend, OR, 97459-1251
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538736459
Provider Name
Pony Creek Annex, Llc
Credential
Provider Entity Type
Organization
Address
2075 Public Square Court, North Bend, OR, 97459-1251
Phone Number
541-297-9551
Fax Number
Provider Enumeration Date
06/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2075 Public Square Court
City
North Bend
State
Oregon
Zip
97459-1270
Phone Number
541-297-9551
Fax Number
person
Provider Business Mailing Address Details
Address
2075 Public Square Court
City
North Bend
State
Oregon
Zip
97459-1270
Phone Number
541-297-9551
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
()
Definition
Definition to come...
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