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Organization
NORTHWEST AMBULATORY SURGERY CENTER LLC
Active
Organization
NORTHWEST AMBULATORY SURGERY CENTER LLC
Active
Other names
Northwest Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (OFFICER/AUTHORIZED OFFICIAL)
(480) 567-0269
Entity
Organization
Contact information
Practice address
1515 NW 18TH AVE, STE 200, PORTLAND, OR 97209-2516
(503) 542-4888
(503) 542-2813
Mailing address
14201 DALLAS PKWY, DALLAS, TX 75254-2916
(503) 542-4888
(503) 542-2813
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
07 1564
OR
Other
Enumeration date
10/22/2008
Last updated
10/14/2024
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