Organization
WILSHIRE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE D FATHEREE (REVENUE /CREDENTIALING SPECIALIST)
(503) 688-5187
Entity
Organization
Contact information
Practice address
9775 SW WILSHIRE ST, SUITE 250, PORTLAND, OR 97225-5020
(503) 688-5187
(503) 688-5199
Mailing address
9775 SW WILSHIRE ST, SUITE 250, PORTLAND, OR 97225-5020
(503) 688-5187
(503) 688-5199
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2010
Last updated
10/18/2022
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