# ISSAQUAH SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Issaquah Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316135114
- **Authorized official:** MR. JEFF VEILLEUX (EXECUTIVE VICE PRESIDENT & CFO)
- **Authorized official phone:** (206) 386-6321

## Contact information

- **Practice address:** 6505 226TH PLACE SE, SUITE 102, ISSAQUAH, WA 98027-8905
- **Practice address phone:** (425) 313-0776
- **Practice address fax:** (425) 313-0771
- **Mailing address:** PO BOX 94248, SEATTLE, WA 98124-6548
- **Mailing address phone:** (425) 313-0776
- **Mailing address fax:** (425) 313-0771

## Taxonomy

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

## Other

- **Enumeration date:** 10/06/2007
- **Last updated:** 12/04/2009