# PACIFIC CARDIOVASCULAR CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PACIFIC CARDIOVASCULAR SURGERY CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740946128
- **Authorized official:** RAGHUNANDAN KAMINENI MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (971) 707-4525

## Contact information

- **Practice address:** 550 HAWTHORNE AVE SE, SALEM, OR 97301-5206
- **Practice address phone:** (971) 707-4525
- **Mailing address:** 550 HAWTHORNE AVE SE, SALEM, OR 97301-5206
- **Mailing address phone:** (971) 707-4525

## Taxonomy

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

## Other

- **Enumeration date:** 11/10/2021
- **Last updated:** 11/10/2021