| NPI | 1063814135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA CARROLL Anesthesiologist 541-603-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: OR MD153931) |
| Enumeration Date | 2014-09-20 |
| Last Update Date | 2014-09-20 |