Organization
AMBULATORY SURGERY CENTER OF ROSEBURG, LLC
Active
Other names
ORegon Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANESSA T VU M.D., PHD (CHIEF OPERATING OFFICER)
(541) 677-2800
Entity
Organization
Contact information
Practice address
2801 NW MERCY DR, STE 200, ROSEBURG, OR 97470-2348
(541) 677-2800
(541) 677-2820
Mailing address
2801 NW MERCY DR, STE 200, ROSEBURG, OR 97470-2348
(541) 677-2800
(541) 677-2820
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
07 1542
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100343
—
OR
Enumeration date
06/16/2005
Last updated
08/22/2020
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