Licensed Ambulatory Surgery Centers updated 10-31-2019

Facility Name AESTHETIC BREAST AND COSMETIC SURGERY CENTER AESTHETIC SURGERY CENTER OF EUGENE ASHLAND SURGERY CENTER ATHENIX BODY SCULPTING BAY EYE SURGERY CENTER BEND SURGERY CENTER BSM SURGERY CENTER, LLC BURNSIDE SURGERY CENTER CASCADE ENDOSCOPY CENTER CASCADE SPINE CENTER, LLC CASCADE SURGERY CENTER, LLC CASCADE SURGICENTER, LLC CEDAR HILLS SURGERY CENTER CENTER FOR COSMETIC & PLASTIC SURGERY CENTER FOR SPECIALTY SURGERY CENTRAL OREGON SURGERY CENTER, LLC CENTRAL OREGON SURGICAL INSTITUTE, LLC CHASE GARDENS SURGERY CENTER, LLC COLUMBIA GORGE SURGERY CENTER, LLC COLUMBIA RIVER SURGERY CENTER, LLC CRATER LAKE SURGERY CENTER, LLC DAY SURGERY AT RIVERBEND DESCHUTES SURGERY CENTER, LLC DOCTORS PARK SURGERY CENTER EAST OREGON SURGERY CENTER, LLC EAST PAVILION SURGERY CENTER EAST PORTLAND SURGERY CENTER, LLC EYE HEALTH EASTSIDE SURGERY CENTER, LLC EYE SURGERY CENTER EYE SURGERY CENTER EYE SURGERY INSTITUTE GATEWAY PEDIATRIC SURGERY CENTER GRANTS PASS SURGERY CENTER, LLC

Licensed Ambulatory Surgery Centers updated 7-26-2022

Address 10201 SE MAIN, SUITE 20 2550 WILLAKENZIE ROAD, SUITE 1 658 N MAIN STREET 17885 NW EVERGREEN PARKWAY, SUITE 2075 PUBLIC SQUARE COURT 1342 NE MEDICAL CENTER DRIVE, SUITE 1128 NE SECOND STREET, SUITE 104 689 NW BURNSIDE ROAD 1007 HARLOW ROAD, SUITE 110 6464 SW BORLAND ROAD, SUITE A3 120 NE MANZANITA AVENUE 2200 NE NEFF ROAD, SUITE 100 10305 SW PARK WAY, SUITE 101 1353 EAST MCANDREWS ROAD 11782 SW BARNES ROAD, BUILDING C, 1835 NW PENCE LANE SUITE 100 1550 NE 27TH STREET, SUITE 110 360 S GARDEN WAY, SUITE 100 1020 WEBBER STREET 9820 NE CASCADES PARKWAY 833 BENNETT AVENUE 3355 RIVERBEND DRIVE, SUITE 110 2115 NE WYATT COURT, SUITE 105 2090 NE WYATT COURT, SUITE 102 1050 SOUTHGATE, SUITE B 9135 SW BARNES ROAD, SUITE 161 9200 SE 91ST AVENUE, SUITE 100 12050 SE STEVENS ROAD, SUITE 400 1408 E BARNETT ROAD 2700 14TH AVENUE SE 1775 SW UMATILLA AVENUE 10535 NE GLISAN STREET, SUITE 100 1601 NW HAWTHORNE AVENUE

City PORTLAND EUGENE ASHLAND BEAVERTON NORTH BEND BEND CORVALLIS GRESHAM SPRINGFIELD TUALATIN GRANTS PASS BEND PORTLAND MEDFORD PORTLAND BEND BEND EUGENE THE DALLES PORTLAND MEDFORD SPRINGFIELD BEND BEND PENDLETON PORTLAND PORTLAND HAPPY VALLEY MEDFORD ALBANY REDMOND PORTLAND GRANTS PASS

State OR OR OR OR OR OR OR OR OR OR OR OR OR OR OR OR OR OR OR OR OR OR OR OR OR OR OR OR OR OR OR OR OR

Zip 97216 97401 97520 97006 97459 97701 97330 97030 97477 97062 97526 97701 97225 97504 97225 97703 97701 97401 97058 97220 97504 97477 97701 97701 97801 97225 97086 97086 97504 97322 97756 97220 97526

County MULTNOMAH LANE JACKSON WASHINGTON COOS DESCHUTES BENTON MULTNOMAH LANE WASHINGTON JOSEPHINE DESCHUTES WASHINGTON JACKSON WASHINGTON DESCHUTES DESCHUTES LANE WASCO MULTNOMAH JACKSON LANE DESCHUTES DESCHUTES UMATILLA WASHINGTON CLACKAMAS CLACKAMAS JACKSON LINN DESCHUTES MULTNOMAH JOSEPHINE

License Expiry Date 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22

License Number 07-1438 07-1545 07-1556 07-1662 07-1665 07-1634 07-1612 07-1645 07-1552 07-1546 07-1577 07-1566 07-1576 07-1441 07-1598 07-1659 07-1661 07-1648 07-1608 07-1620 07-1652 07-1601 07-1642 07-1616 07-1538 07-1658 07-1604 07-1553 07-1500 07-1514 07-1581 07-1647 07-1517

INTERSTATE AMBULATORY SURGICAL CENTER KLAMATH SURGERY CENTER LANE SURGERY CENTER, LLC LASER AND SURGICAL EYE CENTER, LLC MCKENZIE SURGERY CENTER MCMINNVILLE SURGERY CENTER MERIDIAN CENTER FOR SURGICAL EXCELLENCE, LLC NGC ENDOSCOPY SERVICES, LLC NORTH BEND MEDICAL CENTER AMBULATORY SURGERY CTR NORTHBANK SURGICAL CENTER NORTHWEST AMBULATORY SURGERY CENTER, LLC NORTHWEST CENTER FOR PLASTIC SURGERY, LLC NORTHWEST DIALYSIS ACCESS CENTER NW SPINE AND PAIN SURGICAL CENTER ONTARIO SURGERY CENTER OREGON EAR NOSE AND THROAT SURGERY CENTER, LLC OREGON ENDOSCOPY CENTER, LLC OREGON EYE SURGERY CENTER OREGON OUTPATIENT SURGERY CENTER OREGON SPECIALISTS SURGERY CENTER, LLC OREGON SURGICAL INSTITUTE OREGON SURGICENTER, LLC PACIFIC CARDIOVASCULAR CENTER, LLC PACIFIC CATARACT & LASER INSTITUTE, INC PC PACIFIC CATARACT & LASER INSTITUTE, INC PC PACIFIC SURGERY CENTER, LLC PEARL SURGICENTER, INC PETROFF CENTER PLAZA AMBULATORY SURGERY CENTER, LLC PRECISION SURGERY CENTER RIVER ROAD SURGERY CENTER, LLC ROGUE VALLEY SURGERY CENTER SALEM ENDOSCOPY CENTER SALEM LASER AND SURGERY CENTER SALEM OUTPATIENT SURGERY CENTER SAMARITAN ENDOSCOPY CENTER, LLC SKYLINE AMBULATORY SURGERY CENTER SLOCUM SURGERY CENTER SOUTH COAST SURGERY CENTER, LLC

3500 NORTH INTERSTATE AVENUE 2640 BIEHN STREET, SUITE 2 920 COUNTRY CLUB ROAD, SUITE 220-B 1333 E BARNETT ROAD 940 COUNTRY CLUB ROAD 2445 NE CUMULUS AVENUE, SUITE B 19801 SW 72ND AVENUE, SUITE 170 1130 NW 22ND AVENUE, SUITE 615 1900 WOODLAND DRIVE 2525 12TH STREET SE, SUITE 110 1515 NW 18TH AVENUE, SUITE 200 743 COUNTRY CLUB ROAD 9701 SW BARNES ROAD, SUITE 110 8995 SW MILEY ROAD, SUITE 204 251 SW 19TH STREET 1170 ROYAL AVENUE 3355 RIVERBEND DRIVE, SUITE 510 1550 OAK STREET, SUITE 8 7300 SW CHILDS ROAD, SUITE A 2785 RIVER ROAD SOUTH 9405 SW NIMBUS AVENUE 2400 HARTMAN LANE, SUITE 300 550 HAWTHORNE AVENUE SE 19801 SW 72ND AVENUE, SUITE 150 1331 NW LOVEJOY STREET, SUITE 750 1125 DARLENE LANE, SUITE 201 120 NW 14TH AVENUE, SUITE 200 17720 JEAN WAY, SUITE 100 5050 NE HOYT, SUITE 156 1070 WEST ELM STREET SUITE B 3099 RIVER ROAD SOUTH, SUITE 100 2925 SISKIYOU BOULEVARD 875 OAK STREET SE, SUITE C3095 1330 COMMERCIAL STREET SE 700 BELLEVUE STREET SE, SUITE 200 3509 NW SAMARITAN DRIVE, SUITE 201 5125 SKYLINE ROAD SOUTH 55 COBURG ROAD 2699 NORTH 17TH STREET

PORTLAND KLAMATH FALLS EUGENE MEDFORD EUGENE MCMINNVILLE TUALATIN PORTLAND COOS BAY SALEM PORTLAND EUGENE PORTLAND WILSONVILLE ONTARIO MEDFORD SPRINGFIELD EUGENE TIGARD SALEM BEAVERTON SPRINGFIELD SALEM TUALATIN PORTLAND EUGENE PORTLAND LAKE OSWEGO PORTLAND HERMISTON SALEM MEDFORD SALEM SALEM SALEM CORVALLIS SALEM EUGENE COOS BAY

OR 97227 MULTNOMAH OR 97601 KLAMATH OR 97401 LANE OR 97504 JACKSON OR 97401 LANE OR 97128 YAMHILL OR 97062 WASHINGTON OR 97210 MULTNOMAH OR 97420 COOS OR 97302 MARION OR 97209 MULTNOMAH OR 97401 LANE OR 97225 WASHINGTON OR 97070 CLACKAMAS OR 97914 MALHEUR OR 97504 JACKSON OR 97477 LANE OR 97401 LANE OR 97224 WASHINGTON OR 97302 MARION OR 97008 WASHINGTON OR 97477 LANE OR 97301 MARION OR 97062 WASHINGTON OR 97209 MULTNOMAH OR 97401 LANE OR 97209 MULTNOMAH OR 97035 CLACKAMAS OR 97213 MULTNOMAH OR 97838 UMATILLA OR 97302 MARION OR 97504 JACKSON OR 97301 MARION OR 97302 MARION OR 97301 MARION OR 97330 BENTON OR 97306 MARION OR 97401 LANE OR 97420 COOS

12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22

07-1515 07-1519 07-1627 07-1664 07-1505 07-1667 07-1591 07-1539 07-1333 07-1516 07-1597 07-1570 07-1653 07-1623 07-1506 07-1618 07-1536 07-1525 07-1554 07-1637 07-1649 07-1560 07-1669 07-1528 07-1603 07-1524 07-1568 07-1550 07-1632 07-1547 07-1529 07-1615 07-1573 07-1574 07-1663 07-1575 07-1520 07-1588 07-1511

SOUTH PORTLAND SURGICAL CENTER, LLC SPINE SURGERY CENTER OF EUGENE, LLC SUNNYBROOK AMBULATORY SURGERY CENTER SUNSET SURGICAL CENTRE, LLC SURGERY CENTER AT TANASBOURNE, LLC SURGERY CENTER OF MT SCOTT, LLC SURGERY CENTER OF SOUTHERN OREGON, LLC THE CORVALLIS CLINIC SURGERY CENTER THE OREGON CLINIC ENDOSCOPY CENTER - EAST THE OREGON CLINIC ENDOSCOPY CENTER - NEWBERG THE OREGON CLINIC ENDOSCOPY CENTER - OREGON CITY THE OREGON CLINIC ENDOSCOPY CENTER - TUALATIN THE OREGON CLINIC ENDOSCOPY CENTER - WEST THE PORTLAND CLINIC SURGICAL CENTER THE PORTLAND CLINIC, LLP TWO RIVERS SURGICAL CENTER VALLEY PLASTIC SURGERY VISION SURGERY AND LASER CENTER, LLC WAVERLY LAKE SURGERY CENTER WESTSIDE SURGERY CENTER, LLC WILLAMETTE SURGERY CENTER, LLC WILSHIRE SURGERY CENTER YAMHILL VALLEY SURGICAL CENTER, INC

6370 SW BORLAND ROAD, SUITE 100 1410 OAK STREET, SUITE 300 9900 SE SUNNYSIDE ROAD 15390 NW CORNELL ROAD, SUITE 125 10690 NE CORNELL ROAD, SUITE 110 9300 SE 91ST AVENUE, SUITE 101 2798 E BARNETT ROAD 601 NW ELKS DRIVE 1111 NE 99TH AVENUE, SUITE 302 879 PROVIDENCE DRIVE 1508 DIVISION STREET, SUITE 15 19250 SW 90TH AVENUE 9701 SW BARNES ROAD, STE 310 800 SW 13TH AVENUE 9100 SW OLESON ROAD 74B CENTENNIAL LOOP, SUITE 200 280 S PACIFIC HIGHWAY 2435 NW KLINE STREET 633 WAVERLY DRIVE SE 13240 SW PACIFIC HIGHWAY 1445 STATE STREET 9775 SW WILSHIRE ROAD, SUITE 250 2375 NE CUMULUS AVENUE

TUALATIN EUGENE CLACKAMAS BEAVERTON HILLSBORO HAPPY VALLEY MEDFORD CORVALLIS PORTLAND NEWBERG OREGON CITY TUALATIN PORTLAND PORTLAND TIGARD EUGENE TALENT ROSEBURG ALBANY TIGARD SALEM PORTLAND MCMINNVILLE

OR 97062 CLACKAMAS OR 97401 LANE OR 97015 CLACKAMAS OR 97006 WASHINGTON OR 97124 WASHINGTON OR 97086 CLACKAMAS OR 97504 JACKSON OR 97330 BENTON OR 97220 MULTNOMAH OR 97132 YAMHILL OR 97045 CLACKAMAS OR 97062 WASHINGTON OR 97225 WASHINGTON OR 97205 MULTNOMAH OR 97223 WASHINGTON OR 97401 LANE OR 87540 JACKSON OR 97471 DOUGLAS OR 97322 LINN OR 97223 WASHINGTON OR 97301 MARION OR 97225 WASHINGTON OR 97128 YAMHILL

12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22 12/31/22

07-1638 07-1592 07-1586 07-1621 07-1600 07-1655 07-1509 07-1583 07-1535 07-1651 07-1625 07-1624 07-1593 07-1329 07-1594 07-1595 07-1619 07-1532 07-1670 07-1548 07-1522 07-1609 07-1533

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