Gresham Station Surgery Center Llc in Gresham - Ambulatory Surgical
Gresham Station Surgery Center Llc - NPI 1235195447
Gresham Station Surgery Center Llc is a Ambulatory Surgical in Gresham, Oregon. Gresham Station Surgery Center Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Gresham Station Surgery Center Llc is 1235195447. The last update date is 2010-05-04.
Gresham Station Surgery Center Llc's current location address is 831 Nw Council Drive, Gresham, Oregon. You can contact this provider via phone number 5039071907 and fax number 5034892073. The mailing address for Gresham Station Surgery Center Llc is 831 Nw Council Drive, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gresham Station Surgery Center Llc |
|---|---|
| Address | 831 Nw Council Drive, Gresham, Oregon |
| Phone Number | 5039071907 |
| Fax Number | 5034892073 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Skinner Ray Michael |
| Credentials | RN |
| Telephone Number | 5039071907 |
NPI Number Detail
| NPI Number | 1235195447 |
|---|---|
| Provider Enumeration Date | 2006-04-25 |
| Last Updated Date | 2010-05-04 |
Provider Mailing Address Detail
| Address | 831 Nw Council Drive |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 97030 |
| Phone Number | 5039071907 |
| Fax Number | 5034892073 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 394819 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 213664 | OR | -- |
Post Comment/ Review Below
What is the Gresham Station Surgery Center Llc's 1235195447?
The Gresham Station Surgery Center Llc's NPI (National Provider Identifier) Number is 1235195447. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Gresham Station Surgery Center Llc's facilities are situated?
The facilities of Gresham Station Surgery Center Llc are physically located at the following address: 831 Nw Council Drive, Gresham, OR, 97030.
What is Gresham Station Surgery Center Llc's area of expertise and its corresponding taxonomy classification?
The Gresham Station Surgery Center Llc's field of specialization is Ambulatory Surgical, and it falls under the taxonomy code 261Qa1903X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1235195447 assigned to Gresham Station Surgery Center Llc?
The Gresham Station Surgery Center Llc was issued its 1235195447 on 2006-04-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Gresham Station Surgery Center Llc most recently updated?
The details pertaining to the Gresham Station Surgery Center Llc, including its address, specialty, and other relevant information, were last refreshed on 2010-05-04.