Organization
SUNSET SURGICAL CENTRE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM CHI VU MD (SOLE MEMBER)
(509) 297-8555
Entity
Organization
Contact information
Practice address
9555 SW BARNES RD, SUITE 275, PORTLAND, OR 97225-6663
(503) 297-8555
Mailing address
15390 NW CORNELL RD, BEAVERTON, OR 97006
(503) 297-8555
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
60011591
OR
Other
Enumeration date
11/19/2011
Last updated
11/19/2011
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