AMBULATORY SURGICAL CENTER is an ambulatory surgical clinic center in Portland, OR. AMBULATORY SURGICAL CENTER NPI is 1710992680. The provider is registered as an organization entity type.
The provider Is Doing Business As Aesthetic Breast And Cosmetic Surgery Center.
The provider's business location address is:
10201 SE MAIN ST STE 20
PORTLAND, OR
ZIP 97216-937
Phone: (503) 253-3458
Fax: (503) 253-0856
The provider's authorized official is Ronald V Demars .
The authorized official title is Administrator and has the following contact phone number (503) 253-3458.
The CLIA number assigned to this NPI record is 38D2084893 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/29/2006 and was last updated on 6/13/2008.