Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crater Lake Surgery Center LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1679939318

Crater Lake Surgery Center LLC is an Ambulatory Surgical Clinic/Center in Medford, Oregon. Works from 2 locations. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

833 Bennett Ave
Medford, OR 97504-6715
Phone: (541) 779-5228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 835 Bennett Ave, Medford, OR 97504-6715 — (541) 779-5228

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1679939318
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Savino — Member · (541) 779-5228
NPI enumeratedJanuary 11, 2016
Last updated in NPPESJune 18, 2018
Mailing address825 Bennett Ave, Medford, OR 97504-6715

Other providers in Medford