| NPI | 1295738375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRANCE FITZPATRICK Administrator 541-334-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR 393786) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2022-09-28 |