Organization
NORTHWEST SURGICAL SPECIALISTS PC
Active
Parent organization
NORTHWEST SURGICAL SPECIALISTS PC
Other names
Rebound Neurosurgery at Good Sam
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST SURGICAL SPECIALISTS PC
Authorized official
JAY L CRARY MD (AUTHORIZED OFFICIAL)
(360) 254-6161
Entity
Organization
Contact information
Practice address
1040 NW 22ND AVE STE 610, PORTLAND, OR 97210-3066
(360) 254-6161
Mailing address
200 NE MOTHER JOSEPH PL STE 210, VANCOUVER, WA 98664-3295
(360) 254-6161
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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