Organization
NWSA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA ANN DEERING-LARSON CST/FA (SURGICAL FIRST ASSISTANT)
(503) 869-8729
Entity
Organization
Contact information
Practice address
31143 SW WILLAMETTE WAY W, WILSONVILLE, OR 97070-8546
(503) 869-8729
Mailing address
31143 SW WILLAMETTE WAY W, WILSONVILLE, OR 97070-8546
(503) 869-8729
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
103817
OR
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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