NORTHWEST AMBULATORY SURGERY CENTER LLC
Ambulatory Health at 18 Ave, Portland, OR

License number
Oregon 07 1564
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: KATHERINE L REED
Title: OFFICER, AUTHORIZED OFFICIAL
Phone: (972) 763-3859
Address
Address
1515 NW 18Th Ave STE 200, Portland, OR 97209
National Provider ID: 1245482280
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about NORTHWEST AMBULATORY SURGERY CENTER LLC at bizstanding.com

NORTHWEST AMBULATORY SURGERY CENTER

Portland, OR  -  Addison, TX

Industry:
Anesthesiology, Pain Management
Doing business as:
NORTHWEST AMBULATORY SURGERY CENTER, LLC<br>Northwest Surgery Center
Registration:
Feb 16, 2010
Site:
northwest-asc.com
Phone:
(503) 542-4888 (Phone), (503) 542-2813 (Fax)
Addresses:
1515 NW 18 Ave SUITE 200, Portland, OR 97209 (Physical)
15305 Dallas Pkwy STE 1600, Addison, TX 75001 (Mailing)
State ID:
66549297
Business type:
ASSUMED BUSINESS NAME
Administrator:
Ms Kecia Rardin (Administrator)
Agent:
Jenetha Moran,15305 Dallas Pkwy #1600, Addison, TX 75001 (Physical)
Categories:
Physicians & Surgeons - Orthopedic Surgery, Pain Management Services, Physicians & Surgeons-Urology, ...

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