# DENALI SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1457221103
- **Authorized official:** BRETT WILLIAMS (CEO)
- **Authorized official phone:** (503) 344-5101

## Contact information

- **Practice address:** 3500 NE JOHN OLSEN AVE, HILLSBORO, OR 97124
- **Practice address phone:** (503) 639-6571
- **Mailing address:** PO BOX 22029, PORTLAND, OR 97269-2009
- **Mailing address phone:** (503) 558-7372
- **Mailing address fax:** (503) 344-5140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 261QS0112X | Oral and Maxillofacial Surgery Clinic/Center | — | NULL | — |
| 261QS0132X | Ophthalmologic Surgery Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/07/2025
- **Last updated:** 02/05/2026