Organization
RIVER ROAD SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROCHELL ANN BLAIR HOLMES (BUSINESS OFFICE SUPERVISOR)
(503) 485-2584
Entity
Organization
Contact information
Practice address
3099 RIVER RD S, SUITE 100, SALEM, OR 97302-9754
(503) 361-3094
(503) 485-2168
Mailing address
3099 RIVER RD S, SUITE 100, SALEM, OR 97302-9754
(503) 361-3094
(503) 485-2168
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
07 1529
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
239968
—
OR
Enumeration date
02/28/2006
Last updated
02/25/2008
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