Organization
MERIDIAN CENTER FOR SURGICAL EXCELLENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY PATRICK CONNALL MD (MEDICAL DIRECTOR)
(503) 783-0542
Entity
Organization
Contact information
Practice address
19801 SW 72ND AVE, SUITE 170, TUALATIN, OR 97062-8351
(503) 783-0542
(503) 783-0545
Mailing address
19801 SW 72ND AVE, SUITE 170, TUALATIN, OR 97062-8351
(503) 783-0542
(503) 783-0545
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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