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Organization
SALEM OR OPHTHALMOLOGY ASC LLC
Active
Organization
SALEM OR OPHTHALMOLOGY ASC LLC
Active
Other names
Salem Laser & Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE JUDKINS (VICE PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
1330 COMMERCIAL ST SE, SALEM, OR 97302-4206
(503) 763-1973
(503) 763-8886
Mailing address
1A BURTON HILLS BLVD, ATTN: L&C, NASHVILLE, TN 37215-0000
(615) 665-1283
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
07-1574
OR
Other
Enumeration date
02/21/2006
Last updated
04/14/2022
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