Organization
LOVEJOY SURGICENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG KLASS (CFO)
(971) 340-2995
Entity
Organization
Contact information
Practice address
933 NW 25TH AVE, PORTLAND, OR 97210-2829
(503) 221-1870
(503) 221-1488
Mailing address
933 NW 25TH AVE, PORTLAND, OR 97210-2829
(503) 221-1870
(503) 221-1488
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
07-0978
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187153
—
OR
Enumeration date
11/08/2013
Last updated
11/08/2013
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