# WESTSIDE SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1811978356
- **Authorized official:** BRETT WILLIAMS (CEO)
- **Authorized official phone:** (503) 558-7372

## Contact information

- **Practice address:** 13240 SW PACIFIC HWY, SUITE 200, TIGARD, OR 97223-4828
- **Practice address phone:** (503) 639-6571
- **Practice address fax:** (503) 624-6037
- **Mailing address:** 11086 SE OAK ST, MILWAUKIE, OR 97222-6692
- **Mailing address phone:** (503) 557-2020
- **Mailing address fax:** (503) 344-5110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 07-1548 | OR | Yes |
| 261QS0132X | Ophthalmologic Surgery Clinic/Center | 07-1548 | OR | — |

## Other

- **Enumeration date:** 11/10/2005
- **Last updated:** 02/22/2024