WESTSIDE SURGERY CENTER, LLC
Ambulatory Health at Pacific Hwy, Portland, OR

License number
Oregon 07-1548
Category
Ambulatory Health
Type
Ambulatory Surgical
License number
Oregon 07-1548
Category
Ambulatory Health
Type
Ophthalmologic Surgery
Owner
Name: DR. ROBERT WELLS BENTLEY MD
Title: MEDICAL DIRECTOR
Phone: (503) 227-2020
Address
Address
13240 SW Pacific Hwy SUITE 200, Portland, OR 97223
National Provider ID: 1811978356
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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

WESTSIDE SURGERY CENTER, LLC

Eugene, OR  -  Portland, OR

Registration:
Jun 30, 2003
Addresses:
PO Box 10567, Eugene, OR 97440 (Mailing)
11086 SE Oak, Portland, OR 97222 (Physical)
State ID:
15818693
Business type:
DOMESTIC LIMITED LIABILITY COMPANY
Agent:
B Kevinburgess,101 E Broadway STE 200, Eugene, OR 97401 (Physical)

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