# SOUTHWEST WASHINGTON REGIONAL SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1366536880
- **Authorized official:** MS. PATRICIA ANN TROWBRIDGE (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (360) 449-6309

## Contact information

- **Practice address:** 200 NE MOTHER JOSEPH PLACE, SUITE 200, VANCOUVER, WA 98664-3294
- **Practice address phone:** (360) 449-6300
- **Practice address fax:** (360) 449-6370
- **Mailing address:** 200 NE MOTHER JOSEPH PLACE, SUITE 200, VANCOUVER, WA 98664-3294
- **Mailing address phone:** (360) 449-6300
- **Mailing address fax:** (360) 449-6370

## Taxonomy

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

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 10/08/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7107485 | — | WA |