| Organization Name: | ORTHOPEDIC SURGICAL SERVICES, LLC |
| NPI Number: | 1124333489 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD A CARPENTER (PRESIDENT/OWNER) |
| Mailing Address: | 1122 W Elm Ave Hermiston |
| State: | OR US |
| Postal Code: | 978386933 |
| Phone Number: | 5415671750 |
| Fax Number: | 5412891751 |
| NPI Enumeration Date: | 08/11/2010 |
| NPI Last Update Date: | 08/11/2010 |
| 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: | |