Healthcare Provider Details

I. General information

NPI: 1750252185
Provider Name (Legal Business Name): UMPQUA VALLEY SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2025
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

341 NW MEDICAL LOOP STE 100
ROSEBURG OR
97471-5546
US

IV. Provider business mailing address

341 NW MEDICAL LOOP STE 100
ROSEBURG OR
97471-5546
US

V. Phone/Fax

Practice location:
  • Phone: 541-672-8288
  • Fax:
Mailing address:
  • Phone: 541-672-8288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QS0132X
TaxonomyOphthalmologic Surgery Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EMILY ARMSTRONG
Title or Position: MEDICAL DIRECTOR
Credential:
Phone: 541-672-8288