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Organization
RIVER ROAD SURGERY CENTER LLC
Active
Organization
RIVER ROAD SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROCHELL ANN BLAIR HOLMES (BUSINESS OFFICE SUPERVISOR)
(503) 485-2584
Entity
Organization
Contact information
Practice address
3099 RIVER RD S, SUITE 100, SALEM, OR 97302-9754
(503) 361-3094
(503) 485-2168
Mailing address
3099 RIVER RD S, SUITE 100, SALEM, OR 97302-9754
(503) 361-3094
(503) 485-2168
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
07 1529
OR
Other
Enumeration date
02/28/2006
Last updated
02/25/2008
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