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Organization
CASCADE SURGICENTER, LLC
Active
Organization
CASCADE SURGICENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMMY GILSTRAP CLINICAL DIRECTOR (CLINICAL DIRECTOR)
(541) 330-8671
Entity
Organization
Contact information
Practice address
2200 NE NEFF ROAD,, SUITE 100, BEND, OR 97701
(541) 330-8671
(541) 322-2394
Mailing address
2200 NE NEFF ROAD,, SUITE 100, BEND, OR 97701
(541) 330-8671
(541) 322-2394
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
08-00002864
OR
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
OR
Other
Enumeration date
04/17/2006
Last updated
07/21/2022
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