MERIDIAN CENTER FOR SURGICAL EXCELLENCE NPI 1366638843

NPI Information

NPI: 1366638843
Provider Name: MERIDIAN CENTER FOR SURGICAL EXCELLENCE
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
19801 SW 72ND AVE
SUITE 170
TUALATIN, OR
ZIP 97062
Phone: (503) 783-0542
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MERIDIAN CENTER FOR SURGICAL EXCELLENCE is an ambulatory surgical clinic center in Tualatin, OR. MERIDIAN CENTER FOR SURGICAL EXCELLENCE NPI is 1366638843. The provider is registered as an organization entity type.

The provider's business location address is:

19801 SW 72ND AVE
SUITE 170
TUALATIN, OR
ZIP 97062-351
Phone: (503) 783-0542
Fax: (503) 783-0545

The provider's authorized official is Timothy Patrick Connall .
The authorized official title is Medical Director and has the following contact phone number (503) 783-0542.

The enumeration date for this NPI number is 9/19/2007 and was last updated on 9/19/2007.

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			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

NPI Synchronization or Removal

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