| NPI | 1285922641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC S DAVIS Owner 541-390-2464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OR PA00844) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |