Pony Creek Annex, LLC
Pony Creek Annex, LLC is an Ambulatory Surgical Clinic/Center in North Bend, Oregon. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2075 Public Square CtNorth Bend, OR 97459-1270
Phone: (541) 297-9551
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X |
|---|
Record details
| NPI number | 1538736459 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jane Gilbert — Medical Director · (541) 297-9551 |
| Other names | Bay Eye Surgery Center |
| NPI enumerated | June 9, 2021 |
| Last updated in NPPES | June 9, 2021 |
| Certification date | May 21, 2021 |
| Mailing address | 3585 Broadway Ave, North Bend, OR 97459-1251 |