Columbia Surgical Specialists Pllc

LBN: Columbia Surgical Specialists Pllc
Columbia Surgical Specialists Pllc is an health care organization with primary practice located at 25500 Se Stark St Ste 101 , Gresham OR 97030-8327. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Columbia Surgical Specialists Pllc can be contacted via phone (503) 667-4000, or through Cowell, Jr, Vernon L via phone (503) 667-4000.

Contact Information

Primary practice address
25500 Se Stark St Ste 101 Gresham OR 97030-8327
Fax: (503) 661-0835
Website:
Authorized official contact:
Name: Cowell, Jr, Vernon L Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD20828 Oregon

Profile Details

NPI number 1467479303
LBN Legal business name Columbia Surgical Specialists Pllc
DBA Doing business as
Authorized official Cowell, Jr, Vernon L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated Nov 8th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467479303 NPPES
Oregon MEDICAID 150464

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