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Contact Information

AMBULATORY SURGICAL CENTER
10201 SE MAIN ST STE 20
PORTLAND, OR97216-2937
 Phone: 503-253-3458
 Fax: 503-253-0856
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for AMBULATORY SURGICAL CENTER

NPI Number 1710992680
LBN Legal business name AMBULATORY SURGICAL CENTER
Authorized official RONALD DEMARS - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/29/2006
Last updated 06/13/2008 - About 18 years ago
Identifiers
OR License # 071438
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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