| NPI | 1366449910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN GONENNE Medical Director/Physician Partner 541-868-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR 071536) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2015-07-06 |