Pacific Surgical Specialists Llc

LBN: Pacific Surgical Specialists Llc
Pacific Surgical Specialists Llc is an health care organization with primary practice located at 505 Ne 87Th Ave Suite 301, Vancouver WA 98664-1989. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Pacific Surgical Specialists Llc can be contacted via phone (360) 213-9955, or through Dally, Paul D via phone (360) 213-9955.

Contact Information

Primary practice address
505 Ne 87Th Ave Suite 301 Vancouver WA 98664-1989
Phone: (360) 213-9955
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dally, Paul D Doctor of Medicine (MD)
Phone: (360) 213-9955

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1265473623
LBN Legal business name Pacific Surgical Specialists Llc
DBA Doing business as
Authorized official Dally, Paul D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2006
Last updated Oct 17th, 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 1265473623 NPPES
Oregon MEDICAID 278191
Oregon MEDICAID 7128093

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