Organization
OREGON PLASTIC SURGEONS ASC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE CARTER MD (PRESIDENT)
(503) 561-7000
Entity
Organization
Contact information
Practice address
875 OAK ST SE, SUITE 4060, SALEM, OR 97301-3975
(503) 561-7000
Mailing address
875 OAK ST SE, #4060, SALEM, OR 97301-3975
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
071544
OR
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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