Portland Surgical, LLC

NPI #1548216062 in Portland, Tennessee

Provider Information

NPI Number: 1548216062
Entity Type: Organization
Organization Name: Portland Surgical, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: HTI HOSPITAL HOLDINGS, INC.
Primary Specialty: Surgery
Enumeration Date: May 26, 2006
Last Updated: Aug 29, 2007

Practice Location

Address: 103 REDBUD DR
Address 2: SUITE D
City: Portland
State: Tennessee
ZIP Code: 37148-1617
Phone: (615) 323-8306

Authorized Official

Name: MR. CHUCK LOCKE
Title: VP
Phone: (615) 373-7604

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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