Organization
PACIFIC SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES H COBB JR. (MANAGER)
(541) 431-0665
Entity
Organization
Contact information
Practice address
1125 DARLENE LN, SUITE 201, EUGENE, OR 97401-1601
(541) 683-5488
(541) 683-7224
Mailing address
1125 DARLENE LN STE 201, EUGENE, OR 97401-1601
(541) 683-5488
(541) 683-7224
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1524
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167491
—
OR
Enumeration date
07/29/2006
Last updated
06/29/2022
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