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Organization

PORTLAND SURGICAL, LLC

Active
Parent organization
HTI HOSPITAL HOLDINGS, INC.
Other names
PORTLAND SURGICAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
HTI HOSPITAL HOLDINGS, INC.
Authorized official
MR. CHUCK LOCKE (VP)
(615) 373-7604
Entity
Organization

Contact information

Practice address
103 REDBUD DR, SUITE D, PORTLAND, TN 37148-1617
(615) 323-8306
Mailing address
103 REDBUD DR, SUITE D, PORTLAND, TN 37148-1617
(615) 323-8306

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3734179
TN
Enumeration date
05/26/2006
Last updated
08/29/2007
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