Organization
CSS JV, LLC
Active
Other names
Center for Specialty Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
TINA CASTER (EXECUTIVE DIRECTOR)
(503) 906-4306
Entity
Organization
Contact information
Practice address
11782 SW BARNES RD, #200, PORTLAND, OR 97225-5914
(503) 906-4300
(503) 906-4333
Mailing address
11782 SW BARNES RD, #200, PORTLAND, OR 97225-5914
(503) 906-4300
(503) 906-4333
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274836
—
OR
Enumeration date
08/10/2006
Last updated
02/02/2009
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