| NPI | 1053353359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON-MARC WESTON Owner 541-672-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR 071532) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2015-06-26 |