Eye Health Eastside Surgery Center in Portland - Ambulatory Surgical
Eye Health Eastside Surgery Center - NPI 1750362869
Eye Health Eastside Surgery Center is a Ambulatory Surgical in Portland, Oregon. Eye Health Eastside Surgery Center practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Eye Health Eastside Surgery Center is 1750362869. The last update date is 2022-04-05.
Eye Health Eastside Surgery Center's current location address is 12050 Se Stevens Rd Ste 400, Portland, Oregon. You can contact this provider via phone number 9712066100 and fax number 9712066103. The mailing address for Eye Health Eastside Surgery Center is 12050 Se Stevens Rd Ste 400, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eye Health Eastside Surgery Center |
|---|---|
| Address | 12050 Se Stevens Rd Ste 400, Portland, Oregon |
| Phone Number | 9712066100 |
| Fax Number | 9712066103 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Williams Brett |
| Telephone Number | 5033445101 |
NPI Number Detail
| NPI Number | 1750362869 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2022-04-05 |
Provider Mailing Address Detail
| Address | 12050 Se Stevens Rd Ste 400 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 970867667 |
| Phone Number | 9712066100 |
| Fax Number | 9712066103 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 07-1553 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 275034 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Eye Health Eastside Surgery Center by the Centers for Medicare & Medicaid Services?
The Eye Health Eastside Surgery Center has been issued the NPI (National Provider Identifier) 1750362869 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Eye Health Eastside Surgery Center?
The Eye Health Eastside Surgery Center is physically situated at 12050 Se Stevens Rd Ste 400, in the city of Portland, state of OR, with the postal code 970867667.
What is the Eye Health Eastside Surgery Center's area of specialization and corresponding taxonomy classification?
The Eye Health Eastside Surgery Center's specialty field is Ambulatory Surgical, and it falls under the taxonomy code 261Qa1903X, which categorizes healthcare providers based on their specialties.
When did Eye Health Eastside Surgery Center receive its 1750362869 assignment?
The Eye Health Eastside Surgery Center was assigned its 1750362869 on 2005-11-07, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Eye Health Eastside Surgery Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Eye Health Eastside Surgery Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-04-05.