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Organization
WILLAMETTE SPINE CENTER AMBULATORY SURGERY LLC
Active
Organization
WILLAMETTE SPINE CENTER AMBULATORY SURGERY LLC
Active
Other names
Liberty Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. D KAY NEMEC RN (ADMINISTRATOR)
(503) 485-2290
Entity
Organization
Contact information
Practice address
2480 LIBERTY ST NE, SUITE 120, SALEM, OR 97303-6780
(503) 485-2290
Mailing address
PO BOX 1267, PORTLAND, OR 97207-1267
(503) 485-2290
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
OR
Other
Enumeration date
07/21/2005
Last updated
08/22/2020
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