| NPI | 1164452249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA A. RAZO C.E.O. 541-247-3108 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR 07-1579) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2017-02-21 |