Organization Name: | OREGON OUTPATIENT SURGERY CENTER LLC |
NPI Number: | 1073545299 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JESSEYE B ARRAMBIDE (EXECUTIVE DIRECTOR) |
Mailing Address: | 7300 Sw Childs Road Ste A Tigard |
State: | OR US |
Postal Code: | 97224 |
Phone Number: | 5036128452 |
Fax Number: | 5032075368 |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 01/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |