# SALEM SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1619933264
- **Authorized official:** MS. MEGAN JACKSON (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (503) 364-3704

## Contact information

- **Practice address:** 2525 12ST SE, SUITE 110, SALEM, OR 97302
- **Practice address phone:** (503) 364-3704
- **Mailing address:** 2525 12TH STREET SE, SUITE 110, SALEM, OR 97302
- **Mailing address phone:** (503) 364-3704
- **Mailing address fax:** (503) 364-0081

## Taxonomy

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

## Other

- **Enumeration date:** 04/23/2006
- **Last updated:** 02/02/2018