Organization
EAST PORTLAND SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALVERA M GASKINS (ADMINISTRATOR)
(503) 772-6160
Entity
Organization
Contact information
Practice address
9200 SE 91ST AVE, SUITE 100, PORTLAND, OR 97266-6756
(503) 772-6160
(503) 772-6161
Mailing address
9200 SE 91ST AVE, SUITE 100, PORTLAND, OR 97266-6756
(503) 772-6160
(503) 772-6161
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
071572
OR
Other
Enumeration date
07/07/2006
Last updated
07/11/2007
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