Willamette Valley Eye Surgicenter

LBN: Gordon A Miller, Md
Willamette Valley Eye Surgicenter is an health care organization with primary practice located at 2001 Commercial St Se , Salem OR 97302-5207. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ophthalmologic Surgery, which is considered as the primary health care specialty. Gordon A Miller, Md can be contacted via phone (503) 363-1500, or through Miller, Gordon A via phone (503) 363-1500.

Contact Information

Primary practice address
2001 Commercial St Se Salem OR 97302-5207
Phone: (503) 363-1500
Fax: (503) 588-2028
Website:
Map and Directions
Authorized official contact:
Name: Miller, Gordon A Doctor of Medicine (MD)
Phone: (503) 363-1500

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ophthalmologic Surgery 261QS0132X 07-1431 Oregon

Profile Details

NPI number 1689869422
LBN Legal business name Gordon A Miller, Md
DBA Doing business as Willamette Valley Eye Surgicenter
Authorized official Miller, Gordon A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2007
Last updated Aug 23rd, 2013 - about 12 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 1689869422 NPPES
Oregon MEDICAID 018031

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