| NPI | 1124333489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A CARPENTER President/Owner 541-567-1750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |