SOUTH PORTLAND SURGICAL CENTER LLC is an ambulatory surgical clinic center in Tualatin, OR. SOUTH PORTLAND SURGICAL CENTER LLC NPI is 1841507266. The provider is registered as an organization entity type.
The provider Is Doing Business As South Portland Surgical Center.
The provider's business location address is:
6370 SW BORLAND RD
SUITE 100
TUALATIN, OR
ZIP 97062-754
Phone: (503) 218-1105
The provider's authorized official is Jeffrey Snodgrass .
The authorized official title is President and has the following contact phone number (615) 665-1283.
The CLIA number assigned to this NPI record is 38D2013810 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/7/2010 and was last updated on 8/30/2022.