BS
BURNSIDE SURGERY CENTER LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
GRESHAM, OR
Licensed since
2018
Rate
—
Federal identifiers
NPI registry number1013417351
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients195
RevalidationDue 2025-11-30
Authorized official
NameOLEG MAKSIMOV
TitleDIRECTOR
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