Organization
CASCADE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS R. MERRITT M.D. (PRESIDENT)
(541) 476-6636
Entity
Organization
Contact information
Practice address
120 NE MANZANITA AVE, GRANTS PASS, OR 97526-1431
(541) 476-6636
(541) 476-6690
Mailing address
120 NE MANZANITA AVE, GRANTS PASS, OR 97526-1431
(541) 479-2824
(541) 474-4980
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
395515
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
395515
OREGON MEDICAL LICENSE
OR
01
—
399700000084893
DBID
OR
Enumeration date
07/27/2006
Last updated
02/08/2011
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