Organization
SILVERTON SURGICAL,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRIS J WATERS M.D. (ADMINISTRATOR)
(503) 873-5310
Entity
Organization
Contact information
Practice address
450 WELCH ST, SILVERTON, OR 97381-1934
(503) 873-5310
(503) 873-5315
Mailing address
450 WELCH ST, SILVERTON, OR 97381-1934
(503) 873-5310
(503) 873-5315
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OR
Other
Enumeration date
11/30/2006
Last updated
09/21/2010
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