# CROISAN RIDGE SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1912045154
- **Authorized official:** CRAIG D ANDERSON M.D PRESIDENT. (PRESIDENT)
- **Authorized official phone:** (503) 315-4977

## Contact information

- **Practice address:** 4999 SKYLINE RD S \# 150, SALEM, OR 97306-2009
- **Practice address phone:** (503) 315-4977
- **Practice address fax:** (503) 584-7856
- **Mailing address:** 4999 SKYLINE RD S \# 150, SALEM, OR 97306-2009
- **Mailing address phone:** (503) 315-4977
- **Mailing address fax:** (503) 584-7856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 1557 | OR | Yes |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 10/26/2011