Organization
AUBURN OUTPATIENT SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY ANN BECKER DO (OWNER)
(360) 825-4466
Entity
Organization
Contact information
Practice address
208 17TH AVE SE, SUITE 202, PUYALLUP, WA 98372-4515
(360) 825-4466
(360) 825-2064
Mailing address
1427 JEFFERSON AVE, SUITE 101, ENUMCLAW, WA 98022-3649
(360) 825-4466
(360) 825-2064
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
602061246
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7107824
—
WA
Enumeration date
01/25/2007
Last updated
02/23/2012
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