# GRANTS PASS SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1861492530
- **Authorized official:** MRS. JULIE ANN DEGER (OFFICE MANAGER)
- **Authorized official phone:** (541) 472-4884

## Contact information

- **Practice address:** 1601 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1041
- **Practice address phone:** (541) 472-4880
- **Practice address fax:** (541) 472-4899
- **Mailing address:** 1601NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1041
- **Mailing address phone:** (541) 472-4880
- **Mailing address fax:** (541) 472-4899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0504365 | OR | Yes |

## Other

- **Enumeration date:** 07/26/2005
- **Last updated:** 01/03/2008