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General NPI Number Information
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NPI Number | 1891127981
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Entity Type | Organization
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Legal Business Name | PLAZA AMBULATORY SURGERY CENTER LLC
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Dates
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Enumeration Date | 07/31/2013
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 5050 NE HOYT ST SUITE 156
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City | PORTLAND
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State | OR
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Zip | 97213-2991
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Country | US
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Telephone | 971-229-8100
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Fax | 971-229-8101
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Provider Business Mailing Address
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Address Line | 5050 NE HOYT ST STE 156
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City | PORTLAND
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State | OR
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Zip | 97213-2956
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Country | US
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Telephone | 971-229-8100
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Fax | 971-229-8101
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Authorized Official
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Title or Position | VP OPERATIONS
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Name | JEANNE DESAUTELS
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Credential |
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Telephone | 303-881-7687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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