NPI | 1174551758 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN B. ARCHER Medical Director 541-322-5753 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR 071580) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2011-05-24 |