Organization
WILLAMETTE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORISSA ADDABBO (CEO)
(503) 566-3507
Entity
Organization
Contact information
Practice address
1445 STATE ST, SALEM, OR 97301-4248
(503) 566-3507
Mailing address
665 WINTER STREET, ATTN: CARLA REILLY, SALEM, OR 97301
(503) 566-3507
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
071522
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268892
—
OR
Enumeration date
12/27/2005
Last updated
06/03/2025
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