Organization · Type 2 NPI

South Portland Surgical Center LLC

Ambulatory Surgical Clinic/Center · Tualatin, OR

NPI number 1841507266 Active

Practice location

6370 SW Borland Rd, Suite 100
Tualatin, OR 97062-9754

Call (503) 218-1105 Map

Mailing address

1A Burton Hills Blvd, Attn: L&c
Nashville, TN 37215-6187

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	None listed

Ambulatory Surgical Clinic/Center: Definition to come...

2 other providers at this address

DK PathologyClinical Medical Laboratory Tualatin, OR NPI 1366710782
Keleigh Marie Nersasian, PA-CSurgical Physician Assistant Tualatin, OR NPI 1215193057

Other ambulatory surgical clinic/center providers in Tualatin

See all in Tualatin →

NPI record

NPI: 1841507266
Entity type: Organization (Type 2)
Issued: Sep 7, 2010
Last updated: Aug 30, 2022
Status: Active

Other names

<unavail>
South Portland Surgical Center · doing business as
South Portland Surgical Center · doing business as

Authorized official

Mr. Jeffrey Snodgrass
President
(615) 665-1283

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1841507266

South Portland Surgical Center LLC's National Provider Identifier is 1841507266, issued on Sep 7, 2010. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Tualatin, OR. The record was last updated on Aug 30, 2022.