South Portland Surgical Center LLC

NPI #1841507266 in Tualatin, Oregon

Provider Information

NPI Number
1841507266
Entity Type
Organization
Organization Name
South Portland Surgical Center LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Sep 7, 2010
Last Updated
Aug 30, 2022

Practice Location

Address
6370 SW BORLAND RD
Address 2
SUITE 100
State
Oregon
ZIP Code
97062-9754
Phone
(503) 218-1105

Authorized Official

Name
MR. JEFFREY SNODGRASS
Title
PRESIDENT
Phone
(615) 665-1283

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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