# RIVER ROAD SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1487620472
- **Authorized official:** MRS. ROCHELL ANN BLAIR HOLMES (BUSINESS OFFICE SUPERVISOR)
- **Authorized official phone:** (503) 485-2584

## Contact information

- **Practice address:** 3099 RIVER RD S, SUITE 100, SALEM, OR 97302-9754
- **Practice address phone:** (503) 361-3094
- **Practice address fax:** (503) 485-2168
- **Mailing address:** 3099 RIVER RD S, SUITE 100, SALEM, OR 97302-9754
- **Mailing address phone:** (503) 361-3094
- **Mailing address fax:** (503) 485-2168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 07 1529 | OR | Yes |

## Other

- **Enumeration date:** 02/28/2006
- **Last updated:** 02/25/2008