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Organization
SOUTH PORTLAND SURGICAL CENTER LLC
Active
Organization
SOUTH PORTLAND SURGICAL CENTER LLC
Active
Other names
South Portland Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
6370 SW BORLAND RD, SUITE 100, TUALATIN, OR 97062-9754
(503) 218-1105
Mailing address
1A BURTON HILLS BLVD, ATTN: L&C, NASHVILLE, TN 37215-6187
(615) 240-3820
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/07/2010
Last updated
08/30/2022
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