Organization
VP SURGERY CENTER OF AUBURN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODIE WILSON (MANAGER)
(360) 736-0928
Entity
Organization
Contact information
Practice address
1002 15TH ST SW STE 215, AUBURN, WA 98001-6502
(253) 736-6600
(253) 736-6601
Mailing address
PO BOX 960, CENTRALIA, WA 98531-0960
(360) 736-0928
(360) 736-0921
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
603173594
WA
Other
Enumeration date
12/11/2013
Last updated
06/30/2014
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