# SALEM ENDOSCOPY CENTER, LLC

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

## Provider details

- **NPI number:** 1730121401
- **Authorized official:** MS. ZOE ANN WENDOLOWSKI RN (NURSE ADMINISTRATOR)
- **Authorized official phone:** (503) 561-8170

## Contact information

- **Practice address:** 875 OAK ST SE, SUITE 3095, SALEM, OR 97301-3975
- **Practice address phone:** (503) 561-8170
- **Practice address fax:** (503) 561-8167
- **Mailing address:** 875 OAK ST SE, SUITE 3095, SALEM, OR 97301-3975
- **Mailing address phone:** (503) 561-8170
- **Mailing address fax:** (503) 561-8167

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 071573 | OR | Yes |

## Other

- **Enumeration date:** 06/10/2006
- **Last updated:** 05/13/2014