Provider Demographics
NPI:1659966596
Name:SURGEON'S CHOICE, LLC
Entity Type:Organization
Organization Name:SURGEON'S CHOICE, LLC
Other - Org Name:SURGEON'S CHOICE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEILING
Authorized Official - Suffix:
Authorized Official - Credentials:CSFA
Authorized Official - Phone:503-702-6438
Mailing Address - Street 1:1555 1ST ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97018-9505
Mailing Address - Country:US
Mailing Address - Phone:503-702-6438
Mailing Address - Fax:
Practice Address - Street 1:1555 1ST ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA CITY
Practice Address - State:OR
Practice Address - Zip Code:97018-9505
Practice Address - Country:US
Practice Address - Phone:503-702-6438
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-03
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty