Organization
SURGERY CENTER OF SOUTHERN OREGON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WESTMILLER (EXEC DIRECTOR)
(541) 858-8100
Entity
Organization
Contact information
Practice address
2798 E BARNETT RD, MEDFORD, OR 97504-8343
(541) 858-8100
(541) 858-0102
Mailing address
2798 E BARNETT RD, MEDFORD, OR 97504-8343
(541) 858-8100
(541) 858-0102
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
07-1509
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165630
—
OR
Enumeration date
09/21/2005
Last updated
02/14/2013
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