Organization
DESCHUTES SURGERY CENTER, LLC
Active
Other names
DESCHUTES SURGERY CENTER, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY M BOOHER BS (ADMINISTRATOR)
(541) 585-2400
Entity
Organization
Contact information
Practice address
2115 NE WYATT CT, SUITE 105, BEND, OR 97701-7678
(541) 585-2400
(541) 585-2415
Mailing address
2115 NE WYATT CT, SUITE 105, BEND, OR 97701-7678
(541) 585-2400
(541) 585-2415
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/13/2015
Last updated
03/21/2017
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