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WILLAMETTE SPINE CENTER AMBULATORY SURGERY LLC

Surgery Yellow Pages

Salem, Oregon

Provider NPI: 1881694792

Organization Information:
Organization Name:  WILLAMETTE SPINE CENTER AMBULATORY SURGERY LLC


Practice Location:
2480 LIBERTY ST NE SUITE 120 SALEM, OR 97303 US
Tel: 503-485-2290  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
OR

Other Provider Identifiers:

IssuerNumberStateType
227889OR05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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