| NPI | 1063896603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE HORNE Billing Office 541-228-3662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: OR MD22878) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2017-03-01 |