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Organization

DENALI SURGERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRETT WILLIAMS (CEO)
(503) 344-5101
Entity
Organization

Contact information

Practice address
3500 NE JOHN OLSEN AVE, HILLSBORO, OR 97124
(503) 639-6571
Mailing address
PO BOX 22029, PORTLAND, OR 97269-2009
(503) 558-7372
(503) 344-5140

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
207W00000X
Ophthalmology Physician
Primary
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
261QS0132X
Ophthalmologic Surgery Clinic/Center

Other

Enumeration date
11/07/2025
Last updated
02/05/2026
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