Organization Active NPI

Oregon Surgical Wellness LLC

  • Surgery Physician
  • Springfield, OR
National Provider Identifier
1114533262
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
OREGON SURGICAL WELLNESS LLC
Practice address
3783 International CT Ste 200
Springfield, OR 97477-1025
Phone
(541) 913-8087
NPI assigned
Sep 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pamela Kaye Bowles
Title
Operation Manager
Phone
(541) 913-8087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

3783 International CT Ste 200
Springfield, OR 97477-1025

Mailing address

3783 International CT Ste 200
Springfield, OR 97477-1025

National Provider Directory

National Provider Directory

Locations

3783 International Ct
Ste 200
Springfield, OR 97477
Phone (541) 302-6469

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1114533262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3783 INTERNATIONAL CT STE 200",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3783 INTERNATIONAL CT STE 200",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771025",
            "telephone_number": "541-913-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON SURGICAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "BOWLES",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "OPERATION MANAGER",
        "authorized_official_telephone_number": "541-913-8087"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.