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Organization
NORTHWEST SPINE AND LASER SURGERY CENTER LLC
Active
Organization
NORTHWEST SPINE AND LASER SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRELL C BRETT MD (PRESIDENT)
(503) 253-6886
Entity
Organization
Contact information
Practice address
8995 SW MILEY RD, SUITE 204, WILSONVILLE, OR 97070-5484
(267) 760-4734
Mailing address
8995 SW MILEY RD, SUITE 204, WILSONVILLE, OR 97070-5484
(267) 760-4734
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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