| NPI | 1205889110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CLARKE Clinic Administrator 541-266-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2008-11-18 |