Organization
SOUTH PORTLAND SURGICAL CENTER LLC
Active
Other names
South Portland Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
6370 SW BORLAND RD, SUITE 100, TUALATIN, OR 97062-9754
(503) 218-1105
Mailing address
1A BURTON HILLS BLVD, ATTN: L&C, NASHVILLE, TN 37215-6187
(615) 240-3820
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2010
Last updated
08/30/2022
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