# SURGERY CENTER OF SOUTHERN OREGON, LLC

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

## Provider details

- **NPI number:** 1841286267
- **Authorized official:** MR. MICHAEL WESTMILLER (EXEC DIRECTOR)
- **Authorized official phone:** (541) 858-8100

## Contact information

- **Practice address:** 2798 E BARNETT RD, MEDFORD, OR 97504-8343
- **Practice address phone:** (541) 858-8100
- **Practice address fax:** (541) 858-0102
- **Mailing address:** 2798 E BARNETT RD, MEDFORD, OR 97504-8343
- **Mailing address phone:** (541) 858-8100
- **Mailing address fax:** (541) 858-0102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 07-1509 | OR | Yes |

## Other

- **Enumeration date:** 09/21/2005
- **Last updated:** 02/14/2013