WILLAMETTE SPINE CENTER AMBULATORY SURGERY LLC NPI 1881694792

NPI Information

  • NPI: 1881694792
  • Provider Name: WILLAMETTE SPINE CENTER AMBULATORY SURGERY LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: LIBERTY SURGERY CENTER
  • Address: 2480 LIBERTY ST NE
    SUITE 120
    SALEM, OR
    ZIP 97303
  • Phone: (503) 485-2290

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NPI Details

WILLAMETTE SPINE CENTER AMBULATORY SURGERY LLC is an ambulatory surgical clinic center in Salem, OR. WILLAMETTE SPINE CENTER AMBULATORY SURGERY LLC NPI is 1881694792. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Surgery Center.

The provider's business location address is:

2480 LIBERTY ST NE
SUITE 120
SALEM, OR
ZIP 97303-780
Phone: (503) 485-2290

The provider's authorized official is D Kay Nemec .
The authorized official title is Administrator and has the following contact phone number (503) 485-2290.

The enumeration date for this NPI number is 7/21/2005 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
1261QA1903XClinic/CenterAmbulatory SurgicalOREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1227889MEDICAIDOREGON

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: 11/21/2025

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