Gresham Station Surgery Center LLC

NPI #1235195447 in Gresham, Oregon

Provider Information

NPI Number
1235195447
Entity Type
Organization
Organization Name
Gresham Station Surgery Center LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Apr 25, 2006
Last Updated
May 4, 2010

Practice Location

Address
831 NW COUNCIL DRIVE
Address 2
SUITE 212
State
Oregon
ZIP Code
97030
Phone
(503) 907-1907

Authorized Official

Name
MICHAEL RAY SKINNER, RN
Title
ADMINISTRATOR
Phone
(503) 907-1907

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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