WEST PORTLAND SURGERY CENTER, LLC
Ambulatory Health at Cornell Rd, Beaverton, OR

License number
Oregon 25323
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: LISA A DEAN RN, CLNC
Title: ADMINISTRATOR
Phone: (503) 533-4800
Address
Address
16985 NW Cornell Rd, Beaverton, OR 97006
National Provider ID: 1174858955
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about WEST PORTLAND SURGERY CENTER, LLC at bizstanding.com

WEST PORTLAND SURGERY CENTER, LLC

16985 NW Cornell Rd, Beaverton, OR 97006

Registration:
Apr 7, 2009
State ID:
59277997
Business type:
DOMESTIC LIMITED LIABILITY COMPANY
Agent:
Carl Balog,527 SE 39 Ave, Portland, OR 97214 (Physical)

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