Organization · Type 2 NPI
Gresham Station Surgery Center LLC
Ambulatory Surgical Clinic/Center · Gresham, OR
NPI number
1235195447
Active
Practice location
831 NW Council Drive, Suite 212
Gresham, OR 97030
Fax (503) 489-2073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 394819 (OR) |
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 07-1567 (OR) |
Ambulatory Surgical Clinic/Center: Definition to come...
Other ambulatory surgical clinic/center providers in Gresham
About NPI 1235195447
Gresham Station Surgery Center LLC's National Provider Identifier is 1235195447, issued on Apr 25, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Gresham, OR. The record was last updated on May 4, 2010.