Organization
LOVEJOY SURGICENTER INC.
Active
Other names
Lovejoy Surgicenter
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA REICH (ADMINISTRATOR)
(503) 221-1870
Entity
Organization
Contact information
Practice address
933 NW 25TH AVE, PORTLAND, OR 97210-2829
(203) 221-1870
(503) 221-1488
Mailing address
933 NW 25TH AVE, PORTLAND, OR 97210-2829
(203) 221-1870
(503) 221-1488
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
07 0978
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187153
—
OR
05
—
7026826
—
WA
Enumeration date
09/15/2006
Last updated
08/22/2020
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