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Organization

LOVEJOY SURGICENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREG KLASS CEO (DIRECTOR)
(971) 340-2995
Entity
Organization

Contact information

Practice address
933 NW 25TH AVE, PORTLAND, OR 97210-2829
(503) 221-1870
(503) 221-1488
Mailing address
933 NW 25TH AVE, PORTLAND, OR 97210-2829
(503) 221-1870
(503) 221-1488

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
07-0978
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
187153
OR
Enumeration date
10/24/2013
Last updated
10/24/2013
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