| NPI | 1366572158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE REECE Office Manager 541-476-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: OR MD10466) |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: OR MD19356) |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: OR DO20532) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2014-04-24 |