# LONGVIEW SURGICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pacific Surgical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750481453
- **Authorized official:** MRS. JENNIFER L MYERS (DIRECTOR OF CLIENT SERVICES)
- **Authorized official phone:** (360) 442-7913

## Contact information

- **Practice address:** 625 9TH AVE, SUITE \#110, LONGVIEW, WA 98632
- **Practice address phone:** (360) 442-7900
- **Practice address fax:** (360) 442-7901
- **Mailing address:** 625 9TH AVE STE 110, LONGVIEW, WA 98632-2465
- **Mailing address phone:** (360) 442-7913
- **Mailing address fax:** (360) 442-7901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 602313328 | WA | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 09/12/2019