Organization
PACIFIC NORTHWEST SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY ANTHONY MOORE MD (PARTNER)
(541) 352-3661
Entity
Organization
Contact information
Practice address
2445 BEVERLY ST, SPRINGFIELD, OR 97477-1910
(541) 284-3052
(541) 780-6645
Mailing address
2445 BEVERLY ST, SPRINGFIELD, OR 97477-1910
(541) 284-3052
(541) 780-6645
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
05/12/2023
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