Organization
OREGON SURGICENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE FITZPATRICK (ADMINISTRATOR)
(541) 334-3350
Entity
Organization
Contact information
Practice address
2400 HARTMAN LN, STE 300, SPRINGFIELD, OR 97477-1198
(541) 343-1603
(541) 687-0281
Mailing address
2400 HARTMAN LN, STE 300, SPRINGFIELD, OR 97477-1198
(541) 343-1603
(541) 687-0281
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
393786
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277843
—
OR
01
—
P00175746
RAILROAD MEDICARE
OR
Enumeration date
05/23/2005
Last updated
09/28/2022
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