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Organization
MERIDIAN CENTER FOR SURGICAL EXCELLENCE
Active
Organization
MERIDIAN CENTER FOR SURGICAL EXCELLENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY PATRICK CONNALL MD (MEDICAL DIRECTOR)
(503) 783-0542
Entity
Organization
Contact information
Practice address
19801 SW 72ND AVE, SUITE 170, TUALATIN, OR 97062-8351
(503) 783-0542
(503) 783-0545
Mailing address
19801 SW 72ND AVE, SUITE 170, TUALATIN, OR 97062-8351
(503) 783-0542
(503) 783-0545
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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