# WILLAMETTE SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1538146931
- **Authorized official:** LORISSA ADDABBO (CEO)
- **Authorized official phone:** (503) 566-3507

## Contact information

- **Practice address:** 1445 STATE ST, SALEM, OR 97301-4248
- **Practice address phone:** (503) 566-3507
- **Mailing address:** 665 WINTER STREET, ATTN: CARLA REILLY, SALEM, OR 97301
- **Mailing address phone:** (503) 566-3507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 071522 | OR | Yes |

## Other

- **Enumeration date:** 12/27/2005
- **Last updated:** 06/03/2025
