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Organization
OREGON OUTPATIENT SURGERY CENTER LLC
Active
Organization
OREGON OUTPATIENT SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GALE V STOVERN (BUSINESS MANAGER)
(503) 612-8452
Entity
Organization
Contact information
Practice address
7300 SW CHILDS RD, SUITE A, TIGARD, OR 97224-7713
(503) 612-8452
(503) 207-5368
Mailing address
7300 SW CHILDS RD, SUITE A, TIGARD, OR 97224-7713
(503) 612-8452
(503) 207-5368
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
393476
OR
Other
Enumeration date
07/08/2005
Last updated
08/22/2020
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