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Organization
PACIFIC RIM OUTPATIENT SURGERY CENTER, LIMITED LIABILITY COMPANY
Active
Organization
PACIFIC RIM OUTPATIENT SURGERY CENTER, LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY AARON RICHBERG (ADMINISTRATOR/DIRECTOR/MANAGING EMP)
(360) 788-7750
Entity
Organization
Contact information
Practice address
3009 SQUALICUM PKWY, BELLINGHAM, WA 98225
(360) 788-7740
(360) 788-7782
Mailing address
3009 SQUALICUM PKWY, BELLINGHAM, WA 98225-1939
(360) 788-7740
(360) 788-7782
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
602068145001
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7119720
—
WA
Enumeration date
11/23/2005
Last updated
07/27/2018
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