OREGON OUTPATIENT SURGERY CENTER LLC NPI 1124026745

NPI Information

NPI: 1124026745
Provider Name: OREGON OUTPATIENT SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 38D1022465

Address:
7300 SW CHILDS RD
SUITE A
TIGARD, OR
ZIP 97224
Phone: (503) 612-8452
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OREGON OUTPATIENT SURGERY CENTER LLC is an ambulatory surgical clinic center in Tigard, OR. OREGON OUTPATIENT SURGERY CENTER LLC NPI is 1124026745. The provider is registered as an organization entity type.

The provider's business location address is:

7300 SW CHILDS RD
SUITE A
TIGARD, OR
ZIP 97224-713
Phone: (503) 612-8452
Fax: (503) 207-5368

The provider's authorized official is Gale V Stovern .
The authorized official title is Business Manager and has the following contact phone number (503) 612-8452.

The CLIA number assigned to this NPI record is 38D1022465 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	393476	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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