# OREGON PLASTIC SURGEONS ASC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205099017
- **Authorized official:** BRUCE CARTER MD (PRESIDENT)
- **Authorized official phone:** (503) 561-7000

## Contact information

- **Practice address:** 875 OAK ST SE, SUITE 4060, SALEM, OR 97301-3975
- **Practice address phone:** (503) 561-7000
- **Mailing address:** 875 OAK ST SE, \#4060, SALEM, OR 97301-3975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 071544 | OR | Yes |

## Other

- **Enumeration date:** 07/02/2008
- **Last updated:** 07/02/2008