GRESHAM STATION SURGERY CENTER LLC; NPI #1235195447

Contact Information

GRESHAM STATION SURGERY CENTER LLC

831 NW COUNCIL DRIVE
SUITE 212
GRESHAM, OR 97030

Phone: 503-907-1907
Fax: 503-489-2073
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for GRESHAM STATION SURGERY CENTER LLC

NPI # 1235195447

LBN Legal business name GRESHAM STATION SURGERY CENTER LLC

Authorized official MICHAEL SKINNER - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/25/2006

Last updated 05/04/2010 - About 16 years ago

Identifiers

OR	License #	07-1567
OR	License #	394819
OR	Medicaid	213664

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GRESHAM STATION SURGERY CENTER LLC

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for GRESHAM STATION SURGERY CENTER LLC

Reviews for GRESHAM STATION SURGERY CENTER LLC