Organization
NORTHWEST SURGICAL SPECIALISTS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA MULLEN (MANAGER)
(541) 868-9377
Entity
Organization
Contact information
Practice address
3355 RIVERBEND DR STE 300, SPRINGFIELD, OR 97477
(541) 868-9303
(541) 868-9306
Mailing address
3355 RIVERBEND DR STE 300, SPRINGFIELD, OR 97477-8800
(541) 868-9303
(541) 868-9306
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240117
—
OR
Enumeration date
07/07/2006
Last updated
12/06/2021
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