Organization
WEST PORTLAND SURGERY CENTER, LLC
Active
Other names
Cornell Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A DEAN RN, CLNC (ADMINISTRATOR)
(503) 533-4800
Entity
Organization
Contact information
Practice address
16985 NW CORNELL RD, BEAVERTON, OR 97006-5639
(503) 533-4800
(503) 533-4884
Mailing address
16985 NW CORNELL RD, BEAVERTON, OR 97006-5639
(503) 533-4800
(503) 533-4884
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
25323
OR
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Enumeration date
10/12/2009
Last updated
07/21/2014
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