Organization
YAMHILL VALLEY SURGICAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SCOTT GIBSON MD (PRESIDENT)
(503) 474-0650
Entity
Organization
Contact information
Practice address
2375 NE CUMULUS AVE, MCMINNVILLE, OR 97128-8861
(503) 474-0650
(503) 474-0499
Mailing address
PO BOX 1359, MCMINNVILLE, OR 97128-1359
(503) 474-0650
(503) 474-0499
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
07-1533
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268707
—
OR
Enumeration date
08/18/2006
Last updated
08/20/2015
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