Healthcare Provider Details

I. General information

NPI: 1124984901
Provider Name (Legal Business Name): OREGON ASC COMPANY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2025
Last Update Date: 12/24/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 WEST 6TH AVENUE SUITE 100
OSHKOSH WI
54902
US

IV. Provider business mailing address

250 WEST 6TH AVENUE SUITE 100
OSHKOSH WI
54902
US

V. Phone/Fax

Practice location:
  • Phone: 920-651-8200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM FLETT
Title or Position: CFO
Credential:
Phone: 920-454-4013